Individual
GEORGE R GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(214) 960-5681
Mailing address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(972) 259-2477
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
M0731
TX
207RP1001X
Pulmonary Disease Physician
M0731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175615702
—
TX
01
—
8P1831
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
10/19/2006
Last updated
11/09/2023
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