Organization
LAKE MEREDITH EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H GATEWOOD MD (PRES, TEXAS EMERGENCY ROOM SERVICES)
(800) 444-7009
Entity
Organization
Contact information
Practice address
200 S MCGEE ST, BORGER, TX 79007-4022
(806) 273-1189
(806) 273-1248
Mailing address
815 S PALAFOX ST, 3RD FLR, PENSACOLA, FL 32502-5937
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093MA
GRP BS - BORGER, TX
TX
Enumeration date
08/11/2006
Last updated
04/20/2008
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