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Contact Information

HENRY L GOMEZ, MD
1003 FRED LAGRONE DR
CROSSETT, AR71635-4546
 Phone: 870-364-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for HENRY L GOMEZ · (Male)

NPI # 1518994250
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2006
Last updated 05/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E1534
  • AR Medicaid 132396001
  • AR Medicaid 149035002
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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