Individual
DR. VICTOR M GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN STE B222, DALLAS, TX 75230-2528
(972) 566-7007
(972) 566-7013
Mailing address
7777 FOREST LN STE B222, DALLAS, TX 75230-2528
(972) 566-7007
(972) 566-7013
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M4794
TX
207RP1001X
Pulmonary Disease Physician
Primary
M4794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000914306C
—
GA
01
—
613521
MEDICARE
TX
Enumeration date
12/07/2005
Last updated
04/11/2014
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