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Organization

BOIS D'ARC EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH H GATEWOOD M.D. (GENERAL PARTNER)
(800) 444-7009
Entity
Organization

Contact information

Practice address
504 LIPSCOMB BLVD, BONHAM, TX 75418
(903) 583-8585
Mailing address
815 S PALAFOX ST, 3RD FLOOR, 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
0010MD
BLUE SHIELD
TX
01
DD0707
RAILROAD MEDICARE
TX
Enumeration date
09/25/2007
Last updated
04/20/2008
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