Individual
DR. EDUARDO GOMEZ-VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7210 MCPHERSON RD, SUITE #115, LAREDO, TX 78041-6507
(956) 722-8046
(956) 722-8047
Mailing address
7215 MCPHERSON RD, SUITE #115, LAREDO, TX 78041-6554
(956) 608-4500
(956) 608-4501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00087560
DPS REGISTRATION NUMBER
TX
05
—
118616503
—
TX
01
—
J4159
TEXAS PHYSICIAN PERMIT
TX
Enumeration date
12/06/2006
Last updated
01/23/2017
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