Gill, George Keith

Gill, George Keith is an individual health care provider with primary practice located at 1000 Medical Center Dr , Decatur TX 76234-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Gill, George Keith can be contacted via phone (940) 626-2410.

Contact Information

Primary practice address
1000 Medical Center Dr Decatur TX 76234-3834
Fax: (940) 626-2411
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X R8192 Texas

Profile Details

NPI number 1306102264
LBN Legal business name Gill, George Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2012
Last updated Dec 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306102264 NPPES
Texas MEDICAID 394099101
Texas Other R8192

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