IndividualActive
Carlos Gomez-Meade, D.O.
NPI 1023235579 · MOHS-Micrographic Surgery Physician · Broken Arrow, OK
Provider details
- NPI number
- 1023235579
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- P0829 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
800 W. Boise Circle, Suite 400
Broken Arrow, OK 74012
Phone: (918) 307-0215
Fax: (918) 250-7669
Approximate (ZIP-level) locationGet directions
Mailing address
800 W. Boise Circle, Suite 400
Broken Arrow, OK 74012
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2020-08-25
- Certified
- 2020-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.