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NPI Code Detail

MEDICARE: EYVONNE MARIE GILL

MEDICARE:   EYVONNE MARIE GILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician

General Provider Information

NPI Number : 1508970203
Entity Type Code : Individual
Provider Name (Legal Business Name) : EYVONNE MARIE GILL
Provider Business Mailing Address
First Line : 3220 YORKSHIRE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77093-8832
Country : US
Telephone Number : 713-691-3977
Fax Number :
Provider Business Practice Location Address
First Line : 2002 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4211
Country : US
Telephone Number : 713-791-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 07/08/2007

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Directions to “ EYVONNE MARIE GILL ” Practice Location

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