ETEX EMERGENCY PHYSICIANS PLLC (NPI# 1396931093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396931093 |
| Entity Type | Organization |
| Organization Name | ETEX EMERGENCY PHYSICIANS PLLC |
| Practice Address |
300 Kingwood Medical Dr Kingwood TX 77339-6400 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2015-09-25 |
| Authorized Official Name | JOSEPH H GATEWOOD (PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE SHIELD | 0076QG | 01 |
| Street Address |
300 KINGWOOD MEDICAL DR |
| City | KINGWOOD |
| State | TX |
| Zip Code | 77339-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
| 1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
| 1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
| 1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
| 1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
| 1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
| 1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
| 1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
| 1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
| 1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
| Find all providers in zip 77339 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861704744 | J H Thomas Jr. | Emergency Medicine | 2300 Green Oak Dr Ste 900, Kingwood, TX 77339-2055 | 2010-07-08 |
| 1821224320 | Edwin Robert Malone Jr. | Emergency Medicine | 22999 U.S. 59, Kingwood Medical Center, Kingwood, TX 77339 | 2009-06-10 |
| 1255500799 | Nicholas Warren Mclain | Emergency Medicine | 3002 Willow Wood Trl, Kingwood, TX 77345-5442 | 2008-02-28 |
| 1699979419 | Christopher Alan Durham | Emergency Medicine | 5002 Maple Brook Ln, Pcmh Graduate Medical Education, Kingwood, TX 77345-1020 | 2007-06-14 |
| 1194749432 | David W. Olson | Emergency Medicine | 5603 Beaver Lodge Dr, Kingwood, TX 77345-1745 | 2006-07-27 |
| 1790704997 | Edwin Joe Sasin II | Emergency Medicine | 1524 Kingwood Dr, Kingwood, TX 77339-3042 | 2006-07-19 |
| 1891729315 | John R. Temple Jr. | Emergency Medicine | 23330 Eastex Fwy, Kingwood, TX 77339-4471 | 2006-07-10 |
| 1871524348 | Maria G Berdayes | Emergency Medicine | 451 Kingwood Medical Dr Ste 200, Kingwood, TX 77339-6404 | 2006-07-05 |
| 1831126622 | Dale Meyers | Emergency Medicine | 300 S. Price St, C/o Preston Memorial Hospital, Kingwood, WV 26537 | 2006-06-27 |
| 1306885843 | Felix N Sabates Jr. | Emergency Medicine | 526 Kingwood Dr, Suite 421, Kingwood, TX 77339-4473 | 2006-06-06 |
| Find all providers in KINGWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.