Individual
JESUS A. GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6421 SARATOGA BLVD, BUILDING 101, CORPUS CHRISTI, TX 78414-3479
(361) 992-3873
(361) 992-7328
Mailing address
6421 SARATOGA BLVD, BUILDING 101, CORPUS CHRISTI, TX 78414-3479
(361) 992-3873
(361) 992-7328
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0757772-00
—
FL
Enumeration date
04/25/2006
Last updated
12/04/2015
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