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Victor Gomez
Oxygen Equipment & Supplies (DME) in El Paso, Texas
NPI 1689931032

Victor Gomez is a Oxygen Equipment & Supplies (DME) based in El Paso, TX and is specialized in Oxygen Equipment & Supplies. Victor Gomez practices in El Paso, TX. The NPI Number for Victor Gomez is 1689931032 and holds a License No. 0055163 (Texas).

The current practice location address for Victor Gomez is 11601 Pellicano Dr, El Paso, TX and can be reached out via phone at 915-593-3556 and via fax at 915-595-6556.

Location: 11601 Pellicano Dr, El Paso, TX, 79936-6279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689931032
Provider Name
Victor Gomez
Credential
Provider Entity Type
Individual
Gender
Male
Address
11601 Pellicano Dr, El Paso, TX, 79936-6279
Phone Number
915-593-3556
Fax Number
915-595-6556
Provider Enumeration Date
04/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
531034 01 BLUE CROSS BLUE SHIELD TX
144537101 05 TX
144538901 05 TX
QMP000003931980 01 TX MOLINA HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
11601 Pellicano Dr
City
El Paso
State
Texas
Zip
79936-6279
Phone Number
915-593-3556
Fax Number
915-595-6556
person
Provider Business Mailing Address Details
Address
11601 Pellicano Dr
City
El Paso
State
Texas
Zip
79936-6279
Phone Number
915-593-3556
Fax Number
915-595-6556
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0055163 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
0055163 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
0055163 (Texas)
Definition
Definition to come...
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