Individual
PAUL S GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 PINECROFT DR, SUITE 460, SHENANDOAH, TX 77380-3279
(281) 853-5308
(281) 377-0946
Mailing address
9200 PINECROFT DR, SUITE 460, SHENANDOAH, TX 77380-3279
(281) 853-5308
(281) 377-0946
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M8675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
GROUP MEDICARE NUMBER
TX
Enumeration date
05/15/2008
Last updated
12/20/2011
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