Individual
JULIA R GILLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3090 RIDGE RD, ROCKWALL, TX 75032-5865
(972) 475-9505
(972) 412-6737
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L4394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153886001
—
TX
Enumeration date
10/18/2005
Last updated
10/24/2019
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