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NPI Code Detail

MEDICARE: DR. DAVID A. GOLDEN M.D.

MEDICARE: DR. DAVID A. GOLDEN M.D.
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
12085R0202XDiagnostic Radiology PhysicianG4582TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3G4582OTHERTXTEXAS MEDICAL LICENSE
41255549-03OTHERTXCSHCN PROVIDER NUMBER

General Provider Information

NPI Number : 1407848815
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID A. GOLDEN M.D.
Provider Business Mailing Address
First Line : 8401 DATAPOINT DR STE 600
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-5907
Country : US
Telephone Number : 210-616-7700
Fax Number : 210-616-7709
Provider Business Practice Location Address
First Line : 8401 DATAPOINT DR STE 600
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-5907
Country : US
Telephone Number : 210-616-7700
Fax Number : 210-616-7709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 03/31/2016

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Directions to “ DR. DAVID A. GOLDEN M.D.” Practice Location

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