MEDICARE: ALLAN DAVID GILBERT MD

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
1	207KA0200X	Allergy Physician	D5740	TX

General Provider Information

NPI Number	:	1548257819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLAN DAVID GILBERT MD

Provider Business Mailing Address
First Line	:	10 MEDICAL PKWY
Second Line	:	SUITE 204
City	:	DALLAS
State	:	TX
Zip	:	75234-7840
Country	:	US
Telephone Number	:	972-243-7901
Fax Number	:	972-243-2069

Provider Business Practice Location Address
First Line	:	10 MEDICAL PKWY
Second Line	:	SUITE 204
City	:	DALLAS
State	:	TX
Zip	:	75234-7840
Country	:	US
Telephone Number	:	972-243-7901
Fax Number	:	972-243-2069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	03/16/2010

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