Individual
DR. HENRY L GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1003 FRED LAGRONE DR, CROSSETT, AR 71635-4546
(870) 364-3800
Mailing address
PO BOX H, CROSSETT, AR 71635-1808
(870) 364-4111
(870) 364-1245
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E1534
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132396001
—
AR
05
—
149035002
—
AR
Enumeration date
06/27/2006
Last updated
05/16/2023
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