Individual provider · Type 1 NPI
Golder N. Wilson, MD
Clinical Genetics (M.D.) Physician · Lubbock, TX
NPI number
1063402840
Active
Practice location
3601 4th St, Ms 9406
Lubbock, TX 79430-0002
Fax (806) 743-7329
Mailing address
PO Box 5865
Lubbock, TX 79408-5865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | H5095 (TX) |
| Clinical Genetics (M.D.) Physician Primary | 207SG0201X | H5095 (TX) |
Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
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About NPI 1063402840
Golder N. Wilson, MD's National Provider Identifier is 1063402840, issued on Oct 24, 2005. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Lubbock, TX. The record was last updated on Mar 7, 2023.