Individual
JOSE GOMEZ-VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7210 MCPHERSON, STE 115, LAREDO, TX 78041
(956) 725-6872
(956) 725-9412
Mailing address
7210 MCPHERSON, STE 115, LAREDO, TX 78041
(956) 725-6872
(956) 725-9412
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H0390
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D79A
BLUE CROSS BLUE SHIELD
TX
01
—
050009507
RAILROAD MEDICARE
TX
05
—
089803301
—
TX
05
—
089803303
—
TX
05
—
089803304
—
TX
01
—
8AH954
BCBS
TX
Enumeration date
02/27/2006
Last updated
10/26/2012
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