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Organization

KTX EMERGENCY PHYSICIANS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH H GATEWOOD MD (PRESIDENT)
(469) 401-2386
Entity
Organization

Contact information

Practice address
5420 KELL BLVD, WICHITA FALLS, TX 76310-1610
(940) 692-5888
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0036QW
BCBS
TX
Enumeration date
01/28/2008
Last updated
04/16/2014
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