Provider Demographics
NPI:1437681194
Name:GOLDE, OROME
Entity Type:Individual
Prefix:DR
First Name:OROME
Middle Name:
Last Name:GOLDE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 W KELLY AVE
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5031
Mailing Address - Country:US
Mailing Address - Phone:956-354-3901
Mailing Address - Fax:956-354-3902
Practice Address - Street 1:1501 W KELLY AVE
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5031
Practice Address - Country:US
Practice Address - Phone:956-354-3901
Practice Address - Fax:956-354-3902
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48205183500000X
TX61506381835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care