Organization
LONESTAR EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GATEWOOD MD (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
2201 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 519-8405
Mailing address
PO BOX 13118, PHILADELPHIA, PA 19101-3118
(800) 355-0808
(214) 712-2487
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047JQ
BLUE SHIELD
TX
Enumeration date
05/23/2006
Last updated
04/20/2008
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