Individual
GUILLERMO A GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K5303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125252003
—
TX
Enumeration date
09/25/2006
Last updated
06/17/2009
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