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General NPI Number Information
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NPI Number | 1891122669
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Entity Type | Organization
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Legal Business Name | ORCOQUIZA EMERGENCY PHYSICIANS, PLLC
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Dates
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Enumeration Date | 10/10/2013
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Last Update Date | 03/09/2014
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Provider Practice Location Address
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Address Line | 20635 KUYKENDAHL ROAD
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City | SPRING
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State | TX
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Zip | 77379
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Country | US
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Telephone | 800-444-7009
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Fax | 800-305-3233
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD STE 1600
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City | DALLAS
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State | TX
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Zip | 75240-1331
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Country | US
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Telephone | 469-401-2386
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Fax |
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Authorized Official
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Title or Position | OWNER & PRESIDENT, TERS, PA
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Name | JOSEPH H GATEWOOD
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Credential | MD
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Telephone | 469-401-2386
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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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