Libra Emergency Physicians, Pllc

NPI #1124490735 in La Grange, Texas

Provider Information

NPI Number: 1124490735
Entity Type: Organization
Organization Name: Libra Emergency Physicians, Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 22, 2015
Last Updated: Nov 4, 2015

Practice Location

Address: 1 SAINT MARKS PL
City: La Grange
State: Texas
ZIP Code: 78945-1250
Phone: (469) 401-2386

Authorized Official

Name: JOSEPH H GATEWOOD, M.D.
Title: OFFICER
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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