Individual
MR. JOE DIAN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
9522 MARSHALL PT, SAN ANTONIO, TX 78240-4048
(210) 462-6170
Mailing address
9522 MARSHALL PT, SAN ANTONIO, TX 78240-4048
(210) 462-6170
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1097066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1097066
FAMILY NURSE PRACTITIONER
TX
Enumeration date
07/24/2009
Last updated
10/18/2022
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