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General NPI Number Information
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NPI Number | 1477875227
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Entity Type | Individual
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Provider Name | SARA GOMEZ D.M.D
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Gender | Female
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 13202 BRIAR FOREST DR APT 1410
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City | HOUSTON
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State | TX
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Zip | 77077-2442
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Country | US
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Telephone | 646-387-4776
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 MEDICAL PLAZA DR STE 210
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City | SPRING
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State | TX
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Zip | 77380-3255
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Country | US
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Telephone | 832-282-4837
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 25256
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License Number State | TX
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