Physician Compare National (NPI:1306830310)

HEALTHCARE PROVIDER: JULIAN GOMEZ III MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306830310
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537077664
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100923000201
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOMEZ
	Individual professional last name
Provider First Name	JULIAN
	Individual professional first name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BAYLOR COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	VASCULAR SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1801 S 5TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 124
	Group Practice or individual's line 2 address
City	MCALLEN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	785032919
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9566302786
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450711
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RIO GRANDE REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450119
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTH TEXAS HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y