Organization
NIRP WACO PLLC
Active
Other names
PAD Specialists - Austin, PAD Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW EKANSH GOMES MD (AUTHORIZED OFFICIAL)
(281) 888-8999
Entity
Organization
Contact information
Practice address
8611 N MOPAC EXPY, STE 250, AUSTIN, TX 78759-7875
(281) 888-9999
(281) 305-4054
Mailing address
PO BOX 735792, DALLAS, TX 75373-5792
(281) 888-8999
(281) 305-4054
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/31/2019
Last updated
07/19/2023
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