Gamboa, Jessica-Renee

Gamboa, Jessica-Renee is an sole proprietor health care provider with primary practice located at 301 N 1St St , Altus OK 73523-5004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gamboa, Jessica-Renee can be contacted via phone (580) 481-5062.

Contact Information

Primary practice address
301 N 1St St Altus OK 73523-5004
Phone: (580) 481-5062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R3326 Texas

Profile Details

NPI number 1104188192
LBN Legal business name Gamboa, Jessica-Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2012
Last updated Jul 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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