Gomez, David J

Gomez, David J is an individual health care provider with primary practice located at 3110 Nogalitos Suite 105, San Antonio TX 78225-2337. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gomez, David J can be contacted via phone (210) 533-0257.

Contact Information

Primary practice address
3110 Nogalitos Suite 105 San Antonio TX 78225-2337
Phone: (210) 533-0257
Fax: (210) 534-0890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03024 Texas

Profile Details

NPI number 1548257975
LBN Legal business name Gomez, David J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Nov 4th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548257975 NPPES
Texas Other 377795SY18 MEDICARE PTAN
Texas MEDICAID 209627301 MEDICARE PTAN

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