Individual
JIM E GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-8452
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-8452
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
D0139
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
D0139
TX
Other
Enumeration date
11/17/2006
Last updated
04/15/2016
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