Individual
BRANDON SCOTT GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
380 HIGHWAY 587, DE LEON, TX 76444-6352
(254) 842-8604
Mailing address
380 HIGHWAY 587, DE LEON, TX 76444-6352
(254) 842-8604
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L2901
TX
207Q00000X
Family Medicine Physician
L2901
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740169-01
—
TX
Enumeration date
09/06/2006
Last updated
12/27/2023
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