Gomez, Javier H
Gomez, Javier H is an sole proprietor health care provider with primary practice located at 6455 Hiller Ste B-3, El Paso TX 79925. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gomez, Javier H can be contacted via phone (915) 881-1300.Contact Information
Primary practice address
6455 Hiller Ste B-3
El Paso TX 79925
Phone: (915) 881-1300
Fax: (915) 755-1440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 08834 | Texas |
Profile Details
| NPI number | 1154301810 |
|---|---|
| LBN Legal business name | Gomez, Javier H |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jul 25th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154301810 | NPPES |
| Other | 84114 | TRICARE | |
| MEDICAID | 108248904 | TRICARE | |
| Other | 158013 | TRICARE |
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