Richard Gomez, LOA
in Dallas, TX. Individual provider (NPI-1).
NPI number1528299567
StatusActive
Last updated in NPPESAug 6, 2009
Details
- NPI
- 1528299567
- Entity type
- Individual (NPI-1)
- Name
- Richard Gomez
- Credential
- LOA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2009
- Last updated
- Aug 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Z00000X | 425 | TX | Yes |
Practice location
7777 Forest Ln Bldg CSuite 406
Dallas, TX 75230-2505
Phone 972-566-4999 · Fax 972-566-7002
Mailing address
7777 Forest Ln Bldg CSuite 406
Dallas, TX 75230-2505
Phone 972-566-4999 · Fax 972-566-7002
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