SPORTS CONCUSSION TREATMENT CENTER OF TEXAS
Ambulatory Health at Fm 407, Lewisville, TX

License number
Texas L1055
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. JOHN GUSTAVO GOMEZ M.D.
Title: MANAGING PARTNER
Phone: (940) 231-1129
Address
Address
2940 Fm 407 SUITE 302, Lewisville, TX 75077
National Provider ID: 1578950333
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SPORTS CONCUSSION TREATMENT CENTER OF TEXAS, PLLC

2940 Justin Rd STE 302, Lewisville, TX 75077

Registration:
Apr 2, 2015
State ID:
0802188882
Business type:
Domestic Limited Liability Company (LLC)
Managers:
John G. Gomez (Manager),Deborah Cantrell (Manager),Bruce Linden (Manager)
Agent:
John Gomez,2940 Fm 407 SUITE 302, Lewisville, TX 75077 (Physical)
TIN:
32056857678

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