Provider Demographics
NPI:1437490497
Name:CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE PA
Entity Type:Organization
Organization Name:CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-995-1413
Mailing Address - Street 1:902 FROSTWOOD DR STE 155
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2449
Mailing Address - Country:US
Mailing Address - Phone:713-444-2528
Mailing Address - Fax:713-467-6389
Practice Address - Street 1:902 FROSTWOOD DR STE 155
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2449
Practice Address - Country:US
Practice Address - Phone:713-444-2528
Practice Address - Fax:713-467-6389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty