Skip Navigation

Provider Information for 1134502438

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ALEX GOMEZ

Gender: MALE

Individual NPI: 1134502438

Calendar   Last Updated:  2015-07-04
  Certification Date: 

Details

Name Value
NPI 1134502438
Enumeration Date 2015-07-04
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 3505 BRECKENRIDGE DR
EL PASO, TX 79936-1003
United States

Phone: 915-244-6643 | Fax:
View Map External Link
Primary Practice Address 3505 BRECKENRIDGE DR
EL PASO, TX 79936-1003
United States

Phone: 915-244-6643 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 163WC0200X - Registered Nurse Critical Care Medicine TX 781700