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General NPI Number Information
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NPI Number | 1790836328
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Entity Type | Organization
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Legal Business Name | TEXAS EMERGENCY ROOM SERVICES PA
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 301 W EXPRESSWAY 83
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City | MCALLEN
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State | TX
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Zip | 78503-3045
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Country | US
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Telephone | 956-632-4100
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Fax | 214-712-2487
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Provider Business Mailing Address
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Address Line | PO BOX 41735
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City | PHILADELPHIA
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State | PA
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Zip | 19101-1735
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Country | US
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Telephone | 800-355-3818
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Fax | 214-712-2487
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH H. GATEWOOD
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Credential | MD
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Telephone | 214-712-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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