Organization
CAMINO REAL EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H GATEWOOD MD (PRESIDENT)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1717 HIGHWAY 59 LOOP N, LIVINGSTON, TX 77351-5703
(973) 251-1132
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068JQ
BCBS
TX
Enumeration date
11/28/2006
Last updated
12/09/2019
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