Individual
EDWARD R. GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 N OREGON ST, STE. 550, EL PASO, TX 79902-3584
(915) 532-7797
(915) 544-9733
Mailing address
5959 GATEWAY BLVD W, STE. 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 771-6558
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
H3816
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00679D
BCBS
TX
Enumeration date
09/17/2006
Last updated
10/24/2007
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