Organization
GATEWAY COMMUNITY HEALTH CENTER, INC
Active
Other names
GATEWAY COMMUNITY HEALTH CENTER, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL TREVINO JR. (CEO)
(956) 795-8100
Entity
Organization
Contact information
Practice address
1515 PAPPAS ST, LAREDO, TX 78040
(956) 795-8100
(956) 795-8135
Mailing address
1515 PAPPAS ST, LAREDO, TX 78040
(956) 795-8100
(956) 795-8135
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G60097-01
DELTA DENTAL
TX
Enumeration date
06/06/2007
Last updated
02/11/2008
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