# JOHN R. GILMORE, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609484120
- **Authorized official:** MEGAN ANCIRO (OFFICE MANAGER)
- **Authorized official phone:** (214) 239-0343

## Contact information

- **Practice address:** 10740 N CENTRAL EXPY STE 120, DALLAS, TX 75231-2162
- **Practice address phone:** (214) 361-5285
- **Practice address fax:** (469) 941-4272
- **Mailing address:** 10740 N CENTRAL EXPY STE 120, DALLAS, TX 75231-2162
- **Mailing address phone:** (214) 361-5285
- **Mailing address fax:** (469) 941-4272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2020
- **Last updated:** 05/10/2023