| Gateway Community Health Center, Inc. | |
|
1515 Pappas St Laredo TX 78041-1705 | |
| (956) 523-3642 | |
| Not Available |
| Full Name | Gateway Community Health Center, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1515 Pappas St, Laredo, Texas |
| Authorized Official Name and Position | Miguel Trevino (CEO) |
| Authorized Official Contact | 9565233642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Community Health Center, Inc. 1515 Pappas St Laredo TX 78041-1705 Ph: (956) 523-3642 | Gateway Community Health Center, Inc. 1515 Pappas St Laredo TX 78041-1705 Ph: (956) 523-3642 |
| NPI Number | 1659603785 |
|---|---|
| Provider Enumeration Date | 01/29/2010 |
| Last Update Date | 01/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659603785 | NPI | - | NPPES |
| 081896503 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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