Organization
GATEWAY COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL TREVINO JR. (CHIEF EXECUTIVE OFFICER)
(956) 523-3646
Entity
Organization
Contact information
Practice address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 718-6259
(956) 718-6294
Mailing address
1515 PAPPAS ST., LAREDO, TX 78041
(956) 718-6259
(956) 718-6294
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13514
TX
Other
Enumeration date
11/08/2006
Last updated
06/24/2014
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