Most Relevant Information
Provider Data
| NPI Number: | 1003577214 |
| Provider Name: | ALEXANDRA GOMEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 87397 |
Most Important Dates
| Enumeration Date: | 01/10/2022 |
| Last Updated: | 01/10/2022 |
Provider Practice Location
2900 S 1ST ST APT 412
AUSTIN
TX
787046370
Practice Location Phone/Fax
| Phone: | 9564586192 |
| Fax: |
Provider Mailing Location
2900 S 1ST ST APT 412
AUSTIN
TX
787046370
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |