Gomez, Omar A.

Gomez, Omar A. is an individual health care provider with primary practice located at 230 N Rufe Snow Dr , Keller TX 76248-4226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gomez, Omar A. can be contacted via phone (817) 337-5503.

Contact Information

Primary practice address
230 N Rufe Snow Dr Keller TX 76248-4226
Phone: (817) 337-5503
Fax: (817) 337-0110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X J8553 Texas

Profile Details

NPI number 1376507673
LBN Legal business name Gomez, Omar A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 30th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376507673 NPPES
Other 1164541967 FORT WORTH GROUP NPI
MEDICAID 118706405 FORT WORTH GROUP NPI
Other 1710006598 FORT WORTH GROUP NPI
Other 0046KV FORT WORTH GROUP NPI
Other 8K6660 FORT WORTH GROUP NPI

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