NPI | 1093261018 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH H GATEWOOD Officer 469-401-2386 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
Enumeration Date | 2016-08-30 |
Last Update Date | 2017-05-08 |