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General NPI Number Information
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NPI Number | 1922024652
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Entity Type | Individual
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Provider Name | SANDRA P GOMEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 4700 W SAM HOUSTON PKWY N STE 220
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City | HOUSTON
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State | TX
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Zip | 77041-8224
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Country | US
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Telephone | 713-402-7824
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Fax | 713-570-0196
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Provider Business Mailing Address
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Address Line | 4700 W SAM HOUSTON PKWY N STE 220
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City | HOUSTON
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State | TX
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Zip | 77041-8224
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Country | US
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Telephone | 713-402-7824
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Fax | 713-570-0196
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L1864
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License Number State | TX
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