Individual
MR. DAVID JULIAN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 882-3680
(817) 878-5135
Mailing address
13601 PRESTON RD, SUITE 900W, DALLAS, TX 75240-4911
(972) 233-1999
(972) 386-4292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
222218
NC
367500000X
Certified Registered Nurse Anesthetist
667146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165514404
—
TX
05
—
8053121
—
NC
Enumeration date
12/29/2005
Last updated
02/10/2009
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