Individual
TRICIA GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 BEACHVIEW ST, APT. # 2301, DALLAS, TX 75218-3609
(940) 597-3324
Mailing address
1121 BEACHVIEW ST, APT. # 2301, DALLAS, TX 75218-3609
(940) 597-3324
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1183393
TX
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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