Individual
DR. JORGE PINILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 921-3431
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 921-3431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J9784
TX
207RP1001X
Pulmonary Disease Physician
Primary
J9784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118095204
—
TX
Enumeration date
07/20/2006
Last updated
06/27/2016
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