Individual
MIKE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8820 SOUTHWESTERN BLVD APT 1119, DALLAS, TX 75206-2819
(972) 768-3126
Mailing address
8820 SOUTHWESTERN BLVD APT 1119, DALLAS, TX 75206-2819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2078822
TX
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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