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Individual

DR. DAVID GOMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
522 W 157TH ST APT 2D, NEW YORK, NY 10032-7644
(212) 812-2183
Mailing address
506 NORTHSTAR DR, SAN ANTONIO, TX 78216-3741
(646) 922-3944

Taxonomy

Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012590
TX
Enumeration date
08/27/2021
Last updated
08/27/2021
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