Organization
BANJO CATFISH EMERGENCY PHYSICIAN SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GATEWOOD MD (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
845 ROUTE 5 AND 20, IRVING, NY 14081-9706
(469) 401-2386
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2015
Last updated
03/11/2015
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