Individual
DR. JUAN PABLO GOMEZ
Active
Individual
DR. JUAN PABLO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
L8350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165404804
—
TX
01
—
8BM781
BLUECROSS BLUESHIELD OF TEXAS
TX
Enumeration date
05/24/2006
Last updated
12/08/2008
Update your record
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