Individual
LEROY GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 E 9TH ST, SUITE A, MISSION, TX 78572-4257
(956) 424-1805
(956) 424-1800
Mailing address
513 E 9TH ST, SUITE A, MISSION, TX 78572-4257
(956) 424-1805
(956) 424-1800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000046
TX
Other
Enumeration date
05/19/2009
Last updated
06/28/2013
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