Individual
DANIEL GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
640 S EXPY 77 STE 2, RAYMONDVILLE, TX 78580-4241
(956) 689-4120
Mailing address
640 S EXPY 77 STE 2, RAYMONDVILLE, TX 78580-4241
(956) 689-4120
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05902
TX
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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