Organization
GONZALO A AILLON MD PLLC
Active
Organization
GONZALO A AILLON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GONZALO A AILLON M.D. (OWNER)
(214) 943-9406
Entity
Organization
Contact information
Practice address
400 S ZANG BLVD, SUITE 802, DALLAS, TX 75208-6643
(214) 943-9406
(214) 944-5511
Mailing address
400 S ZANG BLVD, SUITE 802, DALLAS, TX 75208-6643
(214) 943-9406
(214) 944-5511
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
D-7730
TX
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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