Organization
KINDER REFERRAL PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H GATEWOOD MD (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
1935 MOTOR ST, BRIGHT BUILDING, DALLAS, TX 75235
(214) 712-2000
Mailing address
1717 MAIN ST, 5200, DALLAS, TX 75201-4612
(214) 712-2074
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064PD
BLUE SHIELD
TX
Enumeration date
12/13/2006
Last updated
04/20/2008
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