Individual
BLANCA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 CARMEN AVE APT 1408, RANCHO VIEJO, TX 78575-9577
(956) 247-7000
(956) 361-0854
Mailing address
3500 CARMEN AVE APT 1408, RANCHO VIEJO, TX 78575-9577
(956) 247-7000
(956) 361-0854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP128359
TX
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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