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NPI Code Detail

MEDICARE: SANDRA P GOMEZ M.D.

MEDICARE: SANDRA P GOMEZ M.D.
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
1207Q00000XFamily Medicine PhysicianL1864TX

General Provider Information

NPI Number : 1922024652
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA P GOMEZ M.D.
Provider Business Mailing Address
First Line : 4700 W SAM HOUSTON PKWY N
Second Line : STE 220
City : HOUSTON
State : TX
Zip : 77041-8224
Country : US
Telephone Number : 713-402-7824
Fax Number : 713-570-0196
Provider Business Practice Location Address
First Line : 4700 W SAM HOUSTON PKWY N
Second Line : STE 220
City : HOUSTON
State : TX
Zip : 77041-8224
Country : US
Telephone Number : 713-402-7824
Fax Number : 713-570-0196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 08/20/2021

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Directions to “ SANDRA P GOMEZ M.D.” Practice Location

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