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NPI Code Detail

MEDICARE: MR. JIMMY GAMEZ GONZALES MD

MEDICARE: MR. JIMMY GAMEZ GONZALES MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207QS0010XSports Medicine (Family Medicine) PhysicianP3159TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740506385
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JIMMY GAMEZ GONZALES MD
Provider Business Mailing Address
First Line : PO BOX 4624
Second Line :
City : MCALLEN
State : TX
Zip : 78502-4624
Country : US
Telephone Number : 956-362-8383
Fax Number : 956-362-8382
Provider Business Practice Location Address
First Line : 1601 E SPRAGUE ST
Second Line :
City : EDINBURG
State : TX
Zip : 78542-5260
Country : US
Telephone Number : 956-362-8383
Fax Number : 956-362-8382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2010
Last Update Date : 09/17/2025

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