Provider Demographics
NPI:1346056611
Name:GOLDEN, LEKECIA
Entity type:Individual
Prefix:
First Name:LEKECIA
Middle Name:
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15814 CHAMPION FOREST DR STE 1203
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7141
Mailing Address - Country:US
Mailing Address - Phone:713-257-5851
Mailing Address - Fax:713-354-3969
Practice Address - Street 1:15814 CHAMPION FOREST DR STE 1203
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7141
Practice Address - Country:US
Practice Address - Phone:713-257-5851
Practice Address - Fax:713-354-3969
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant