Individual
CLIVE GOMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
18980 W MEMORIAL DR, #100, HUMBLE, TX 77338
(832) 644-8930
Mailing address
2123 ENDICOTT LN, SUGAR LAND, TX 77478-6027
(832) 875-5762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1031969
TX
Other
Enumeration date
03/14/2021
Last updated
08/25/2021
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