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Contact Information

SUZANNE M GOMEZ DIAZ, MD
818 N 4TH ST
LONGVIEW, TX95601
 Phone: 903-236-8600
 Fax: 903-236-8605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUZANNE M GOMEZ DIAZ · (Female)

NPI Number 1043284375
Status Active
Credentials MD
Entity Individual
Enumeration date 02/14/2006
Last updated 11/08/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A73474
  • TX License # L4954
  • TX Medicaid 153840701
  • TX Medicaid 153840702
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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