Country Road Emergency Physicians, Pllc

NPI #1144691163 in Alice, Texas

Provider Information

NPI Number: 1144691163
Entity Type: Organization
Organization Name: Country Road Emergency Physicians, Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 16, 2015
Last Updated: Nov 4, 2015

Practice Location

Address: 2500 E MAIN ST
City: Alice
State: Texas
ZIP Code: 78332-4261
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
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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