Gomez, Gina

Gomez, Gina is an individual health care provider with primary practice located at 2400 Hospital Dr Suite 240, Bossier City LA 71111-2385. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gomez, Gina can be contacted via phone (318) 742-1795.

Contact Information

Primary practice address
2400 Hospital Dr Suite 240 Bossier City LA 71111-2385
Fax: (318) 741-3902
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD.201749 Louisiana

Profile Details

NPI number 1740482504
LBN Legal business name Gomez, Gina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jul 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740482504 NPPES
Louisiana MEDICAID 1093246

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