DR. OMAR A. GOMEZ M.D. NPI 1376507673

NPI Information

NPI: 1376507673
Provider Name: DR. OMAR A. GOMEZ, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 45D2049542

Address:
230 N RUFE SNOW DR
KELLER, TX
ZIP 76248
Phone: (817) 337-5503
Get Directions

DR. Omar A. Gomez, M.D. is a pediatrics in Keller, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Omar A. Gomez, M.D. NPI is 1376507673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

230 N RUFE SNOW DR
KELLER, TX
ZIP 76248-226
Phone: (817) 337-5503
Fax: (817) 337-0110

The CLIA number assigned to this NPI record is 45D2049542 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 3/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		J8553	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0046KV	OTHER	TEXAS	BCBS GROUP
2	1710006598	OTHER		KELLER GROUP NPI
3	G46113	MEDICARE UPIN	TEXAS
4	1164541967	OTHER		FORT WORTH GROUP NPI
5	8K6660	OTHER	TEXAS	BCBS
6	118706405	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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