Individual provider Active NPI

Eduardo Gomez-Vazquez, M.D.

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1013076058
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J4159 Issued in TX
Practice address
7210 McPherson Rd
Suite #115
Laredo, TX 78041-6507
Phone
(956) 722-8046
Fax
(956) 722-8047
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J4159 TX Primary

Addresses

Primary practice location

7210 McPherson Rd
Suite #115
Laredo, TX 78041-6507

Mailing address

7215 McPherson Rd
Suite #115
Laredo, TX 78041-6554
Phone (956) 608-4500

Other identifiers 3

IdentifierTypeStateIssuer
J4159OtherTXTEXAS PHYSICIAN PERMIT
00087560OtherTXDPS REGISTRATION NUMBER
118616503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000531 TX Practitioner - Family Practice 1456254002

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

502 S Closner Blvd
Edinburg, TX 78539-4660

7215 McPherson Rd
Laredo, TX 78041-6554

Hospital & facility affiliations

  • Healing Hands Home Health Care LLC Home health agency, Laredo, TX, CCN 679502
  • Superior Nursing Care Home health agency, Laredo, TX, CCN 747254
  • Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643
  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Premier Healthcare, PLLC Family Medicine Current Accepting new patients
South Texas Physician Partners PLLC Family Medicine CurrentSince Apr 2, 2025 Accepting new patients
Monzer H Yazji MD & Associates PLLC Family Medicine CurrentSince Dec 1, 2022 Accepting new patients

Locations

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

7215 McPherson Rd
Ste 115
Laredo, TX 78041

7215 McPherson Rd
Laredo, TX 78041
Phone (956) 608-4500

7210 McPherson Rd
Ste 115
Laredo, TX 78041
Phone (956) 722-8046

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

Interoperability endpoints

  • Direct secure messaging: eduardo.gomez-vazquez.1@33464.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1013076058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 MCPHERSON RD",
            "address_2": "SUITE #115",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416554",
            "telephone_number": "956-608-4500",
            "fax_number": "956-608-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD",
            "address_2": "SUITE #115",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416507",
            "telephone_number": "956-722-8046",
            "fax_number": "956-722-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-VAZQUEZ",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHYSICIAN PERMIT",
            "identifier": "J4159",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS REGISTRATION NUMBER",
            "identifier": "00087560",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118616503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.