Individual
PATRICIA A GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA, AUXILIARY
Contact information
Practice address
7000 W INTERSTATE 30 APT 1023, ROYSE CITY, TX 75189-7562
(214) 694-1051
(972) 692-6918
Mailing address
7000 W INTERSTATE 30 APT 1023, ROYSE CITY, TX 75189-7562
(214) 694-1051
(972) 692-6918
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834262189
—
TX
Enumeration date
11/22/2019
Last updated
11/22/2019
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