Organization · NPI-2

Gates Blvd Emergency Physicians PLLC

Emergency Medicine · Port Arthur, TX

NPI number1871916528
StatusActive
Last updated in NPPESJan 31, 2014

Details

NPI
1871916528
Entity type
Organization (NPI-2)
Legal business name
Gates Blvd Emergency Physicians PLLC
Organization subpart
No
Enumeration date
Jan 31, 2014
Last updated
Jan 31, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

3600 Gates Blvd
Port Arthur, TX 77642-3858

Phone 409-985-7431

Mailing address

13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331

Phone 469-401-2386 · Fax 214-712-2444

Authorized official

Joseph Gatewood
President
4694012386

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