Gomez-Meade, Carlos

Gomez-Meade, Carlos is an individual health care provider with primary practice located at 800 W. Boise Circle, Suite 400 , Broken Arrow OK 74012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Gomez-Meade, Carlos can be contacted via phone (918) 307-0215.

Contact Information

Primary practice address
800 W. Boise Circle, Suite 400 Broken Arrow OK 74012
Phone: (918) 307-0215
Fax: (918) 250-7669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X P0829 Texas
Allopathic & Osteopathic Physicians / Dermatology 207N00000X P0829 Texas
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 6596 Oklahoma

Profile Details

NPI number 1023235579
LBN Legal business name Gomez-Meade, Carlos
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 25th, 2020 - about 5 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 1023235579 NPPES
Texas MEDICAID 302669201

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