Organization
ORION PHYSICIAN GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS GATEWOOD (MANAGING MEMBER)
(469) 450-0498
Entity
Organization
Contact information
Practice address
3716 STANDRIDGE DR, 200, THE COLONY, TX 75056-4146
(972) 619-9485
Mailing address
3716 STANDRIDGE DR, 200, THE COLONY, TX 75056-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
TX
207X00000X
Orthopaedic Surgery Physician
Primary
—
TX
2086S0129X
Vascular Surgery Physician
—
TX
Other
Enumeration date
06/19/2015
Last updated
02/25/2016
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