Individual
FERNANDO GOMEZ-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11914 ASTORIA BLVD STE 670, HOUSTON, TX 77089-6081
(713) 486-1120
(281) 741-9440
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101251391
VA
207Y00000X
Otolaryngology Physician
R7465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101251391
LICENSE
VA
Enumeration date
03/13/2012
Last updated
12/06/2022
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