Organization
NORTHBANK EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H. GATEWOOD M.D. (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1625 MEDICAL CENTER DR, EL PASO, TX 79902-5005
(915) 747-4000
(214) 712-2444
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025NJ
BCBS GROUP
TX
05
—
187263201
—
TX
05
—
29728053
—
NM
Enumeration date
05/15/2006
Last updated
10/21/2019
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