Gomez, Henry L

Gomez, Henry L is an individual health care provider with primary practice located at 1003 Fred Lagrone Dr , Crossett AR 71635-4546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gomez, Henry L can be contacted via phone (870) 364-3800.

Contact Information

Primary practice address
1003 Fred Lagrone Dr Crossett AR 71635-4546
Phone: (870) 364-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E1534 Arkansas

Profile Details

NPI number 1518994250
LBN Legal business name Gomez, Henry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated May 16th, 2023 - about 3 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 1518994250 NPPES
Arkansas MEDICAID 132396001
Arkansas MEDICAID 149035002

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