GATEWAY PRIMARY CARE ASSOCIATES, P.A.
Marriage and Family Therapists at Gateway Blvd, El Paso, TX

License number
Texas G7794
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MRS. SANDRA BUSTAMANTE CMC
Title: OFFICE MANAGER
Phone: (915) 592-8223
Address
Address
7812 Gateway Blvd E SUITE 230, El Paso, TX 79915
National Provider ID: 1861726994
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GATEWAY PRIMARY CARE ASSOCIATES, PA

7812 Gtwy Blvd E STE 230, El Paso, TX 79915

Status:
Inactive
Doing business as:
Gateway Primary Care Associates, PA
Registration:
Jul 31, 2009
State ID:
0801153438
Business type:
Professional Association
Director , Member, Vice-Presidents:
Kenyon Robbins Behrens Director , Member, President, inactive,Manuel J. Palafox Director , Member, Secretary, Treasurer, inactive,Eduardo M. De Jesus Director , Member, Vice-President, inactive
Agent:
Kenyon R. Behrens,7812 Gtwy Blvd E SUITE 230, El Paso, TX 79915 (Physical)
TIN:
32040025440

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