Organization
FAMILY SPECIALISTS MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIPE DE JESUS GOMEZ MD (PRESIDENT)
(956) 585-1564
Entity
Organization
Contact information
Practice address
1605 E EXPRESSWAY 83, SUITE D, MISSION, TX 78572-6616
(956) 585-1564
(956) 585-2830
Mailing address
2401 SE AUGUSTA SQ, MCALLEN, TX 78503-1105
(956) 585-1564
(956) 585-2830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031DM
BCBS
TX
05
—
092297301
—
TX
Enumeration date
11/16/2007
Last updated
03/29/2012
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