SearchTexas106S00000X

Jade Gomillion

NPI 1992485262 · on the registry since 2023 · sole proprietor

Practice

Address
701 Glencrest Ln
Longview, TX 75601
Phone
(903) 686-9941
Organisation at this address
Novus & Fortis Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas