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NPI Code Detail

MEDICARE: TREELINE PARK EMERGENCY PHYSICIANS PLLC

MEDICARE: TREELINE PARK EMERGENCY PHYSICIANS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1649541400
Entity Type Code : Organization
Provider Name (Legal Business Name) : TREELINE PARK EMERGENCY PHYSICIANS PLLC
Provider Business Mailing Address
First Line : 13737 NOEL RD
Second Line : STE 1600
City : DALLAS
State : TX
Zip : 75240-1331
Country : US
Telephone Number : 469-401-2386
Fax Number : 214-712-2444
Provider Business Practice Location Address
First Line : 403 TREELINE PARK
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-2042
Country : US
Telephone Number : 210-693-1936
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOSEPH H. GATEWOOD
Credential : M.D.
Telephone Number : 469-401-2386
Provider Enumeration Date : 01/25/2012
Last Update Date : 06/20/2014

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Directions to “TREELINE PARK EMERGENCY PHYSICIANS PLLC ” Practice Location

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