Gomez, Michael Ray
Gomez, Michael Ray is an individual health care provider with primary practice located at 4311 E Lohman Ave , Las Cruces NM 88011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Gomez, Michael Ray can be contacted via phone (575) 556-7600.Contact Information
Primary practice address
4311 E Lohman Ave
Las Cruces NM 88011
Phone: (575) 556-7600
Fax: (855) 527-5516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | J1672 | Texas |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 95-246 | New Mexico |
Profile Details
| NPI number | 1508828476 |
|---|---|
| LBN Legal business name | Gomez, Michael Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Sep 6th, 2018 - about 6 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 | 1508828476 | NPPES |
| Arkansas | MEDICAID | 158194001 | |
| Arkansas | MEDICAID | 200017460A | |
| Arkansas | MEDICAID | 200310030B | |
| Arkansas | MEDICAID | 206297103 |
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