Individual
BETH V GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
K4900
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149897001
—
AR
05
—
158776801
—
TX
Enumeration date
07/28/2005
Last updated
04/08/2011
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