# GATEWAY COMMUNITY HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659603785
- **Authorized official:** MR. MIGUEL TREVINO JR. (CEO)
- **Authorized official phone:** (956) 523-3642

## Contact information

- **Practice address:** 1515 PAPPAS ST, LAREDO, TX 78041-1705
- **Practice address phone:** (956) 523-3642
- **Mailing address:** 1515 PAPPAS ST, LAREDO, TX 78041-1705
- **Mailing address phone:** (956) 523-3642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2010
- **Last updated:** 01/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 081896503 | — | TX |