Gomez, Jesus A.

Gomez, Jesus A. is an individual health care provider with primary practice located at 6421 Saratoga Blvd Building 101, Corpus Christi TX 78414-3479. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gomez, Jesus A. can be contacted via phone (361) 992-3873.

Contact Information

Primary practice address
6421 Saratoga Blvd Building 101 Corpus Christi TX 78414-3479
Phone: (361) 992-3873
Fax: (361) 992-7328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30463 Texas

Profile Details

NPI number 1396701561
LBN Legal business name Gomez, Jesus A.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 4th, 2015 - about 10 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 1396701561 NPPES
Florida MEDICAID 0757772-00

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