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General NPI Number Information
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NPI Number | 1184700205
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Entity Type | Organization
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Legal Business Name | GATEWAY COMMUNITY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 2007 S ZAPATA HWY
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City | LAREDO
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State | TX
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Zip | 78046-6510
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Country | US
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Telephone | 956-718-6259
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Fax |
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Provider Business Mailing Address
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Address Line | 2007 S ZAPATA HWY
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City | LAREDO
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State | TX
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Zip | 78046-6510
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Country | US
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Telephone | 956-718-6259
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ELMO LOPEZ JR.
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Credential |
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Telephone | 956-625-3001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 21321
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License Number State | TX
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