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NPI Code Detail

MEDICARE: MICHAEL GOMEZ

MEDICARE: MICHAEL GOMEZ
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
1183700000XPharmacy TechnicianTX

General Provider Information

NPI Number : 1144819301
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL GOMEZ
Provider Business Mailing Address
First Line : 4955 BEECHNUT ST
Second Line :
City : HOUSTON
State : TX
Zip : 77096-1600
Country : US
Telephone Number : 713-664-4700
Fax Number :
Provider Business Practice Location Address
First Line : 4955 BEECHNUT ST
Second Line :
City : HOUSTON
State : TX
Zip : 77096-1600
Country : US
Telephone Number : 713-664-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2021
Last Update Date : 01/12/2021

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Directions to “ MICHAEL GOMEZ ” Practice Location

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