Organization
GATEWAY COMMUNITY HEALTH CENTER, INC.
Active
Other names
Gateway Community Health Center, Inc. Main Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL TREVINO MBA (CHIEF EXECUTIVE OFFICER)
(956) 523-3646
Entity
Organization
Contact information
Practice address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 523-3605
(956) 795-8147
Mailing address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 523-3605
(956) 795-8147
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090941
PK
—
Enumeration date
10/25/2006
Last updated
07/08/2014
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