Provider Demographics
NPI:1952178204
Name:ADOO, GOLDEN
Entity Type:Individual
Prefix:
First Name:GOLDEN
Middle Name:
Last Name:ADOO
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 1:6001 S CONGRESS AVE APT 1313
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-2034
Mailing Address - Country:US
Mailing Address - Phone:480-212-2817
Mailing Address - Fax:
Practice Address - Street 1:15500 VOSS RD STE 669
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-4601
Practice Address - Country:US
Practice Address - Phone:480-212-2817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management
No171W00000XOther Service ProvidersContractor