Individual
JOSE GOMEZ-VAZQUEZ
Active
Individual
JOSE GOMEZ-VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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