Individual
JOSE J GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 SE WASHINGTON ST, IDABEL, OK 74745-3319
(580) 286-6688
(580) 286-6699
Mailing address
601 SE WASHINGTON ST, IDABEL, OK 74745-3319
(580) 286-6688
(580) 286-6699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25506
OK
207Q00000X
Family Medicine Physician
K9788
TX
Other
Enumeration date
07/11/2006
Last updated
10/31/2011
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