Provider Demographics
NPI:1144245184
Name:GOLDEN, CHRISTINA Z M (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:Z M
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 357
Mailing Address - Street 2:
Mailing Address - City:LAKEHILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78063-0357
Mailing Address - Country:US
Mailing Address - Phone:830-688-2386
Mailing Address - Fax:830-751-3733
Practice Address - Street 1:1370 PANTHEON WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2286
Practice Address - Country:US
Practice Address - Phone:830-688-2386
Practice Address - Fax:830-751-3733
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL97042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176586901Medicaid
TX176586901Medicaid