Organization
NIRP VICTORIA PLLC
Active
Other names
PAD Specialists - Victoria
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW EKANSH GOMES MD (AUTHORIZED OFFICIAL)
(281) 888-8999
Entity
Organization
Contact information
Practice address
1908 N LAURENT ST STE 120, VICTORIA, TX 77901-5475
(281) 888-8999
(281) 305-4054
Mailing address
PO BOX 734063, DALLAS, TX 75373-4063
(281) 888-8999
(281) 305-4054
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
01/23/2018
Last updated
07/18/2023
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