Organization
CLINICA SAN JOSE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GOMEZ-VAZQUEZ MD (OWNER)
(956) 452-1457
Entity
Organization
Contact information
Practice address
6423 MCPHERSON RD STE 13, LAREDO, TX 78041-6144
(956) 251-9687
Mailing address
6423 MCPHERSON RD STE 13, LAREDO, TX 78041-6144
(956) 452-1457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/22/2024
Last updated
05/01/2025
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