Provider Demographics
NPI:1174102123
Name:SCHRUNDER GOMEZ, SCHERLY NICOLE (MD)
Entity type:Individual
Prefix:
First Name:SCHERLY
Middle Name:NICOLE
Last Name:SCHRUNDER GOMEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9202 ELAM RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-4199
Mailing Address - Country:US
Mailing Address - Phone:214-266-1600
Mailing Address - Fax:214-266-1742
Practice Address - Street 1:9202 ELAM RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-4199
Practice Address - Country:US
Practice Address - Phone:214-266-1600
Practice Address - Fax:214-266-1742
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV0155207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty