Provider Demographics
NPI:1215499686
Name:STANDS-OVER-BULL, GOLDIE BETH (MD)
Entity type:Individual
Prefix:
First Name:GOLDIE
Middle Name:BETH
Last Name:STANDS-OVER-BULL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1283 RECORD CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-6001
Mailing Address - Country:US
Mailing Address - Phone:214-941-1050
Mailing Address - Fax:
Practice Address - Street 1:1283 RECORD CROSSING RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-6001
Practice Address - Country:US
Practice Address - Phone:214-941-1050
Practice Address - Fax:214-946-4738
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61305614207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine