| Doctor Name: | JAVIER GOMEZ |
| NPI Number: | 1720196801 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RD, LD, CDE |
| License Number: | DT06671 |
| Business Practice Address: | 5001 N Piedras St El Paso, TX - 799304210 |
| Business Phone Number: | 9155647847 |
| Business Fax Number: | 9155647579 |
| Mailing Address: | 1420 David Ray Way, EL PASO |
| State: | TX |
| Postal Code: | 799367025 |
| Phone Number: | 9158615704 |
| Fax Number: | 9155647579 |
| NPI Enumeration Date: | 08/28/2006 |
| NPI Last Update Date: | 03/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DT06671 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |