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NPI Code Detail

MEDICARE: KARLA MICHELL GOMEZ-ESTRADA

MEDICARE: KARLA MICHELL GOMEZ-ESTRADA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist38802TX

General Provider Information

NPI Number : 1558019323
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA MICHELL GOMEZ-ESTRADA
Provider Business Mailing Address
First Line : 8350 N CENTRAL EXPY STE 1275
Second Line :
City : DALLAS
State : TX
Zip : 75206-1614
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8350 N CENTRAL EXPY STE 1275
Second Line :
City : DALLAS
State : TX
Zip : 75206-1614
Country : US
Telephone Number : 972-445-9560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2022
Last Update Date : 03/11/2022

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Directions to “ KARLA MICHELL GOMEZ-ESTRADA ” Practice Location

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