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Organization
SHAWNEE TRAIL EMERGENCY PHYSICIANS
Active
Organization
SHAWNEE TRAIL EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H. GATEWOOD MD (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
5575 WARREN PKWY, FRISCO, TX 75034-4062
(214) 618-2000
(214) 618-2004
Mailing address
PO BOX 42903, PHILADELPHIA, PA 19101-2903
(800) 355-0808
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015NC
BLUE SHIELD
TX
Enumeration date
05/11/2006
Last updated
04/20/2008
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