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NPI Code Detail

MEDICARE: DR. CARMEN MAUREEN GOMEZ FITZPATRICK M.D.

MEDICARE: DR. CARMEN MAUREEN GOMEZ FITZPATRICK M.D.
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
1208M00000XHospitalist PhysicianG1822TX
2207Q00000XFamily Medicine PhysicianG1822TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20984163-06OTHERTXMEDICIAID CSHCN

General Provider Information

NPI Number : 1427056381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARMEN MAUREEN GOMEZ FITZPATRICK M.D.
Provider Business Mailing Address
First Line : PO BOX 3046
Second Line :
City : MALVERN
State : PA
Zip : 19355-0746
Country : US
Telephone Number : 956-632-4000
Fax Number : 956-961-4286
Provider Business Practice Location Address
First Line : 301 W EXPRESSWAY 83
Second Line :
City : MCALLEN
State : TX
Zip : 78503-3045
Country : US
Telephone Number : 956-632-4000
Fax Number : 956-961-4286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/21/2022

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