Individual
CRISELDA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
611 N BRYAN RD, MISSION, TX 78572-6285
(956) 580-3303
(956) 580-1505
Mailing address
611 N BRYAN RD, MISSION, TX 78572-6285
(956) 580-3330
(956) 580-1505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333709901
—
TX
Enumeration date
09/09/2008
Last updated
03/24/2016
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