Marco Antonio Gomez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02281 Issued in TX

Practice address

210 S. Bryan Rd. Ste
Suite 1
Mission, TX 78572-6208

Phone

(956) 581-7481

NPI assigned

Mar 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Richard D Barrera MD PA

  • Family Medicine Physician
  • Mission, TX
  • NPI 1275144651
  NPD (past)

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1235556085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S. BRYAN RD. STE",
            "address_2": "SUITE 1",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726208",
            "telephone_number": "956-581-7481",
            "fax_number": "956-580-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S. BRYAN RD. STE",
            "address_2": "SUITE 1",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726208",
            "telephone_number": "956-581-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Gomez
• Felipe De Jesus Gomez, MD
• Henry Maris Pangan Gomez, PT
• Houston Noel Gomez, FNP-C
• Leroy Gomez
• Priscila Liszeth Gomez, PA-C
• Cynthia Gongora, LPC
• Deborah Ann Gonzales, MSN, RN
• Michelle Gonzales, L.P.T.
• Cynthia Yajaira Gonzalez-Andrade

• Physician Assistant in Mission, TX
• Providers in Mission, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.