Provider Demographics
NPI:1225239502
Name:GOMEZ MORENO, OLGA LUCIA (MD)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:LUCIA
Last Name:GOMEZ MORENO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5111 N 10TH ST # 230
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2835
Mailing Address - Country:US
Mailing Address - Phone:956-969-1313
Mailing Address - Fax:956-969-1322
Practice Address - Street 1:910 E 8TH ST STE 3
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4675
Practice Address - Country:US
Practice Address - Phone:956-969-1313
Practice Address - Fax:956-969-1322
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2023-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN0052208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics