Individual
DR. FELIPE DE JESUS GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 E INTERSTATE HIGHWAY 2, STE D, MISSION, TX 78572-6607
(956) 362-3520
(956) 362-3529
Mailing address
1605 E INTERSTATE HIGHWAY 2 STE D, MISSION, TX 78572-6607
(956) 585-1564
(956) 585-2830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115387608
—
TX
01
—
115387609
MEDICAID-CSHCN
TX
01
—
84170X
BCBS INDIVIDUAL NUMBER
TX
Enumeration date
03/26/2007
Last updated
03/07/2023
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