Gomez, Jesus Alberto

Gomez, Jesus Alberto is an individual health care provider with primary practice located at 7848 Gateway Blvd E , El Paso TX 79915-1815. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Gomez, Jesus Alberto can be contacted via phone (915) 544-6750.

Contact Information

Primary practice address
7848 Gateway Blvd E El Paso TX 79915-1815
Phone: (915) 544-6750
Fax: (915) 599-1701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H2409 Texas
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X H2409 Washington

Profile Details

NPI number 1609873504
LBN Legal business name Gomez, Jesus Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 8th, 2011 - about 15 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 1609873504 NPPES
New Mexico MEDICAID 87629551
New Mexico MEDICAID 133951709
New Mexico MEDICAID 133951710
New Mexico MEDICAID 155014701

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