| NPI | 1861726994 |
|---|---|
| Former Legal Business Name | GATEWAY PRIMARY CARE ASSOCIATES, P. A. |
| Entity Type | Organization |
| Authorized Contact | SANDRA BUSTAMANTE Office Manager 915-592-8223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G7794) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |