| NPI | 1003216649 |
|---|---|
| Doing Business As | GATEWAY VEIN & LEG CENTER |
| Entity Type | Organization |
| Authorized Contact | COREY T HOLTMAN CEO 817-698-8346 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: TX 801678647) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |