BETH V GILL MD

Allergy and Immunology

Texarkana, Texas

Provider NPI: 1376543793

Provider Information:
 BETH V GILL MD


Practice Location:
5002 COWHORN CREEK RD  TEXARKANA, TX 75503 US
Tel: 903-614-3000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	TX	K4900

Other Provider Identifiers:

Issuer	Number	State	Type
	158776801	TX	05
	149897001	AR	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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