Gomez, Victor

Gomez, Victor is an sole proprietor health care provider with primary practice located at 11601 Pellicano Dr Suite B8, El Paso TX 79936-6279. He recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is his primary health care specialty. Gomez, Victor can be contacted via phone (915) 593-3556.

Contact Information

Primary practice address
11601 Pellicano Dr Suite B8 El Paso TX 79936-6279
Phone: (915) 593-3556
Fax: (915) 595-6556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0055163 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 0055163 Texas
Suppliers / Oxygen Equipment & Supplies 332BX2000X 0055163 Texas

Profile Details

NPI number 1689931032
LBN Legal business name Gomez, Victor
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2012
Last updated Oct 26th, 2012 - about 14 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 1689931032 NPPES
Other 531034 BLUE CROSS BLUE SHIELD TX
MEDICAID 144537101 BLUE CROSS BLUE SHIELD TX
MEDICAID 144538901 BLUE CROSS BLUE SHIELD TX
Other QMP000003931980 BLUE CROSS BLUE SHIELD TX

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