Individual
DR. JUAN PABLO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1200 E SAVANNAH AVE, STE 12, MCALLEN, TX 78503
(956) 688-6300
(956) 688-6303
Mailing address
1200 E SAVANNAH AVE, STE 12, MCALLEN, TX 78503
(956) 688-6300
(956) 688-6303
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
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