Liza Mari Gomez

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Monte Alto, TX

NPI 1861273682 · NPPES record last updated Oct 9, 2023

Key facts

NPI
1861273682
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
8349 Guadalupe Ave
Monte Alto, TX 78538-3253
Phone
(956) 929-4760
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

8349 Guadalupe Ave
Monte Alto, TX 78538-3253

Mailing address

8349 Guadalupe Ave
Monte Alto, TX 78538-3253
Phone (956) 929-4760

Other providers in Monte Alto, TX

All providers in Monte Alto, TX · Student in an Organized Health Care Education/Training Program in Texas

Sources for this page

Verify at the official NPI Registry.