Organization
PALUXY EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H. GATEWOOD MD (PRESIDENT)
(214) 712-2074
Entity
Organization
Contact information
Practice address
1310 PALUXY RD, GRANBURY, TX 76048-5655
(817) 408-3050
Mailing address
PO BOX 41788, PHILADELPHIA, PA 19101-1788
(800) 355-0808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031JQ
BCBS
TX
Enumeration date
05/23/2006
Last updated
04/20/2008
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