MEDICARE: DR. JAMES E 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	207L00000X	Anesthesiology Physician	G3392	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	83925K	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	050065916	OTHER	TX	RAILROAD

General Provider Information

NPI Number	:	1740266618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES E GILL M.D.

Provider Business Mailing Address
First Line	:	4840 HOLLY TREE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-7200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4840 HOLLY TREE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-7200
Country	:	US
Telephone Number	:	972-849-2921
Fax Number	:

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

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	09/26/2025

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