Individual
HAYDEN ROBERT GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S2
Contact information
Practice address
301 UTICA AVE, LUBBOCK, TX 79416-3111
(806) 797-4985
(806) 792-8588
Mailing address
301 UTICA AVE, LUBBOCK, TX 79416-3111
(806) 797-4985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15278
TX
Other
Enumeration date
08/06/2020
Last updated
02/25/2022
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