MEDICARE: CHRISTINA Z. M. GOLDEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	L9704	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144245184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA Z. M. GOLDEN MD

Provider Business Mailing Address
First Line	:	PO BOX 357
Second Line	:
City	:	LAKEHILLS
State	:	TX
Zip	:	78063-0357
Country	:	US
Telephone Number	:	830-688-2386
Fax Number	:	830-751-3733

Provider Business Practice Location Address
First Line	:	1370 PANTHEON WAY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-2286
Country	:	US
Telephone Number	:	830-688-2386
Fax Number	:	830-751-3733

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/09/2007

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