Organization
CANNON EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H GATEWOOD MD (PRES TEXAS EMER ROOM SERVICES PA)
(800) 427-2145
Entity
Organization
Contact information
Practice address
1110 N SARAH DEWITT DR, EMERGENCY DEPARTMENT, GONZALES, TX 78629-3311
(830) 672-7581
(830) 672-4319
Mailing address
815 S PALAFOX ST, 3RD FLOOR, PENSACOLA, FL 32502-5937
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030LE
BS GRP # - GONZALES, TX
TX
Enumeration date
08/11/2006
Last updated
03/06/2008
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