Individual
ALICIA GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-1475
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(685) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2015-0205
NM
208000000X
Pediatrics Physician
R6010
TX
208M00000X
Hospitalist Physician
Primary
R6010
TX
Other
Enumeration date
04/03/2012
Last updated
04/19/2021
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