Active NPI
Gomez-Vazquez Family Practice, PA
- Family Medicine Physician
- Laredo, TX
National Provider Identifier
1043364011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J-4159
- Legal business name
- GOMEZ-VAZQUEZ FAMILY PRACTICE, PA
- Practice address
- 7210 McPherson Rd
Suite #115
Laredo, TX 78041-6507 - Phone
- (956) 722-8046
- Fax
- (956) 722-8047
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jorge Gomez-Vazquez, M.D.
- Title
- President
- Phone
- (956) 722-8046
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J-4159 | TX | Primary |
| Family Medicine Physician | 207Q00000X | J-4160 | TX |
Addresses
Primary practice location
7210 McPherson Rd
Suite #115
Laredo, TX 78041-6507
Mailing address
7210 McPherson Rd
Suite #115
Laredo, TX 78041-6507
Phone (956) 722-8046
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00T38Z | Other | TX | BCBS GROUP # |
| 1053470070 | Other | TX | NPI |
| 1013076058 | Other | TX | NPI |
National Provider Directory
National Provider DirectoryLocations
7210 McPherson Rd
#115
Laredo, TX 78041
Phone (956) 722-8046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043364011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"organization_name": "GOMEZ-VAZQUEZ FAMILY PRACTICE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOMEZ-VAZQUEZ",
"authorized_official_first_name": "JORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-722-8046",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "J-4159",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "J-4160",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "00T38Z",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1053470070",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1013076058",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.