MEDICARE: DR. JOHN TORBET GILL M.D.

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	207X00000X	Orthopaedic Surgery Physician	G3393	TX

General Provider Information

NPI Number	:	1700965928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN TORBET GILL M.D.

Provider Business Mailing Address
First Line	:	8230 WALNUT HILL LN
Second Line	:	SUITE 708
City	:	DALLAS
State	:	TX
Zip	:	75231-4431
Country	:	US
Telephone Number	:	214-890-0906
Fax Number	:	214-890-0929

Provider Business Practice Location Address
First Line	:	8230 WALNUT HILL LN
Second Line	:	SUITE 708
City	:	DALLAS
State	:	TX
Zip	:	75231-4431
Country	:	US
Telephone Number	:	214-890-0906
Fax Number	:	214-890-0929

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

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	06/11/2012

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