Organization
SPORTS CONCUSSION TREATMENT CENTER OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GUSTAVO GOMEZ M.D. (MANAGING PARTNER)
(940) 231-1129
Entity
Organization
Contact information
Practice address
2940 FM 407, SUITE 302, HIGHLAND VILLAGE, TX 75077-7045
(972) 316-9011
Mailing address
2940 FM 407, SUITE 302, HIGHLAND VILLAGE, TX 75077-7045
(972) 316-9011
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
L1055
TX
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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