Individual
DR. MARK H. GILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4426
(214) 345-6148
(214) 345-4322
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 715-5007
(972) 715-5682
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H9642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123252203
—
TX
05
—
123252204
—
TX
05
—
123252205
—
TX
05
—
123252206
—
TX
Enumeration date
12/27/2005
Last updated
12/01/2010
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