Individual
DR. ARVE WARD GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 N BECKLEY AVE, SUITE 101, DALLAS, TX 75203-1201
(214) 943-9911
(214) 943-6334
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M1704
TX
207RX0202X
Medical Oncology Physician
M1704
TX
2085R0001X
Radiation Oncology Physician
Primary
M1704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175736101
—
TX
05
—
175736102
—
TX
05
—
175736103
—
TX
01
—
8S7054
BLUE CROSS OF TEXAS
TX
Enumeration date
06/04/2006
Last updated
02/25/2020
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