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General NPI Number Information
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NPI Number | 1982438420
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Entity Type | Individual
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Provider Name | BRANDY GAIL GOMEZ DNP - PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2024
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 4242 MEDICAL DR STE 6300
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5372
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Country | US
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Telephone | 844-824-8775
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Fax | 281-648-2200
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Provider Business Mailing Address
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Address Line | 716 LASERRA
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City | CIBOLO
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State | TX
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Zip | 78108-1942
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Country | US
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Telephone | 214-226-6907
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 923709
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1178737
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License Number State | TX
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