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Individual

MICHAEL RAY GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011
(575) 556-7600
(855) 527-5516
Mailing address
7575 KIRBY DR, HOUSTON, TX 77030-4390

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
95-246
NM
2080N0001X
Neonatal-Perinatal Medicine Physician
J1672
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158194001
AR
05
200017460A
OK
05
200310030B
KS
05
206297103
MO
Enumeration date
04/05/2006
Last updated
09/06/2018
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