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 |
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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