Individual
MARIBEL GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6999 MCPHERSON RD STE 108, LAREDO, TX 78041-6450
(956) 704-5034
Mailing address
6999 MCPHERSON RD STE 108, LAREDO, TX 78041-6450
(956) 704-5034
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16576
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2022
Last updated
04/26/2023
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