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Carlos Gomez-Meade DO PC

Dermatology, MOHS-Micrographic Surgery in Tulsa, OK. Organization (NPI-2).

NPI number1245097948
StatusActive
Last updated in NPPESJul 31, 2024

Details

NPI
1245097948
Entity type
Organization (NPI-2)
Legal business name
Carlos Gomez-Meade DO PC
Organization subpart
No
Enumeration date
Feb 29, 2024
Certification date
Jul 31, 2024
Last updated
Jul 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0101X Dermatology, MOHS-Micrographic Surgery––Yes

Practice location

1440 Terrace Dr
Tulsa, OK 74104-4626

Phone 918-239-9966

Mailing address

1440 Terrace Dr
Tulsa, OK 74104-4626

Phone 918-239-9966

Other practice locations

5801 E 41st St Ste 220
Tulsa, OK 74135-5627

Phone 918-884-6623

Authorized official

Carlos Gomez-Meade DO
Authorized Official
9188846623

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