Dr Suzanne M Gomez-diaz, MD | |
818 N 4th St, Longview, TX 95601 | |
(903) 236-8600 | |
(903) 236-8605 |
Full Name | Dr Suzanne M Gomez-diaz |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 818 N 4th St, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043284375 | NPI | - | NPPES |
153840702 | Medicaid | TX | |
153840701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A73474 (California) | Secondary |
208000000X | Pediatrics | L4954 (Texas) | Primary |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Mailing Address | Practice Location Address |
---|---|
Dr Suzanne M Gomez-diaz, MD 818 N 4th St, Longview, TX 95601 Ph: (903) 236-8600 | Dr Suzanne M Gomez-diaz, MD 818 N 4th St, Longview, TX 95601 Ph: (903) 236-8600 |
Dr. Telema Dikibujiri Nga, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 Phone: 856-782-2212 | |
Dr. Karen L Roberts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 | |
Darvy Lee Mann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8566 | |
Dr. Samantha Jayne Roworth-chaikin, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 703 E Marshall Ave Ste 4002, Longview, TX 75601 Phone: 903-315-3966 Fax: 903-230-0795 | |
Stephen Womack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 906 N 6th St, Longview, TX 75601 Phone: 903-753-2246 Fax: 903-753-4470 | |
Dr. Carla S Hunter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8573 |