Individual
DR. OMAR A. GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 N RUFE SNOW DR, KELLER, TX 76248-4226
(817) 337-5503
(817) 337-0110
Mailing address
230 N RUFE SNOW DR, KELLER, TX 76248-4226
(817) 337-5503
(817) 337-0110
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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