Individual
DR. OMAR A. GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J8553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046KV
BCBS GROUP
TX
01
—
1164541967
FORT WORTH GROUP NPI
—
05
—
118706405
—
TX
01
—
1710006598
KELLER GROUP NPI
—
01
—
8K6660
BCBS
TX
Enumeration date
04/13/2006
Last updated
03/30/2009
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