Garrett Kenneth Gotway
Pediatrician Clinical Genetics (M.D.)
5323 Harry Hines Blvd
Dallas
, Texas 75390-7201
Garrett Kenneth Gotway
Pediatrician Clinical Genetics (M.D.)
5323 Harry Hines Blvd
Dallas
, Texas 75390-7201
(214) 456-2567
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Garrett Kenneth Gotway
- P.o. Box 845347
- Dallas, TX
- Zip : 75284-5347
- Fax : (214) 456-2567
- Phone : (214) 456-2564
Second Address
- Garrett Kenneth Gotway
- 5323 Harry Hines Blvd
- Dallas, TX
- Zip : 75390-7201
- Fax : (214) 456-2567
- Phone : (214) 456-2564
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207SG0201X | Clinical Genetics (M.D.) | N5691 | TX |
| Y | 208000000X | Pediatrician | N5691 | TX |
National Provider Identifier
| NPI | 1811108426 |
|---|---|
| Provider Name | Garrett Kenneth Gotway |
| First Address | Dallas, TX 75284-5347 |
| Second Address | Dallas, TX 75390-7201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2007 |
| Last Update Date | 29/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.