Individual
JOHN THOMAS GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5425 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78411-5301
(361) 993-7778
Mailing address
5425 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78411-5301
(361) 993-7778
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5245TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041835201
—
TX
Enumeration date
08/25/2006
Last updated
11/13/2007
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