| Gianina Gomez Md Pa | |
|
1141 N Loop 1604 E # 188 San Antonio TX 78232-1339 | |
| (800) 778-1242 | |
| Not Available |
| Full Name | Gianina Gomez Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1141 N Loop 1604 E # 188, San Antonio, Texas |
| Authorized Official Name and Position | Gianina Gomez (OWNER) |
| Authorized Official Contact | 8007781242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gianina Gomez Md Pa 1141 N Loop 1604 E # 188 San Antonio TX 78232-1339 Ph: (800) 778-1242 | Gianina Gomez Md Pa 1141 N Loop 1604 E # 188 San Antonio TX 78232-1339 Ph: (800) 778-1242 |
| NPI Number | 1578861092 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 03/08/2011 |
| Medicare PECOS PAC ID | 7012191653 |
|---|---|
| Medicare Enrollment ID | O20110406000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578861092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Texas) | Primary |
| Provider Name | Gianina Gomez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922289149 PECOS PAC ID: 7315084548 Enrollment ID: I20091021000170 |
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