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Individual
MR. JIMMY GAMEZ GONZALES
Active
Individual
MR. JIMMY GAMEZ GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
P3159
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313174003
—
TX
01
—
313174004
MEDICAID CSHCN PROGRAM
TX
Enumeration date
04/07/2010
Last updated
09/17/2025
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