Individual
ALEX GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3505 BRECKENRIDGE DR, EL PASO, TX 79936-1003
(915) 244-6643
Mailing address
3505 BRECKENRIDGE DR, EL PASO, TX 79936-1003
(915) 244-6643
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
781700
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP129306
TX
Other
Enumeration date
07/04/2015
Last updated
05/21/2022
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