Individual
GREGORY PAUL GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-4141
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
717697
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294377101
—
TX
05
—
294377102
—
TX
05
—
294377103
—
TX
01
—
75-1976930-005
TRICARE
TX
01
—
750818167015
TRICARE
TX
01
—
8335UE
BCBS
TX
01
—
8419EC
BCBS
TX
01
—
P01043045
RAIL ROAD
TX
01
—
P01246284
RAIL ROAD
TX
Enumeration date
01/25/2012
Last updated
09/21/2023
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