Organization
915 PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERTO GOMEZ MD (OWNER)
(915) 257-5862
Entity
Organization
Contact information
Practice address
3261 JOE BATTLE BLVD, EL PASO, TX 79936-1156
(915) 257-5862
(689) 207-5553
Mailing address
1500 FINSTERWALD PL, EL PASO, TX 79936-6011
(817) 209-4946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L9705
TX LICENSE
TX
Enumeration date
10/21/2020
Last updated
10/21/2020
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