| NPI | 1104001957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH H GATEWOOD President 469-401-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080P0204X Pediatrics Pediatric Emergency Medicine | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2014-07-18 |