Provider Demographics
NPI:1235462144
Name:GILL NEUROSCIENCES PA
Entity Type:Organization
Organization Name:GILL NEUROSCIENCES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:HARPAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-912-7777
Mailing Address - Street 1:21212 NORTHWEST FWY
Mailing Address - Street 2:SUITE 515
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5884
Mailing Address - Country:US
Mailing Address - Phone:832-912-7777
Mailing Address - Fax:832-912-7776
Practice Address - Street 1:21212 NORTHWEST FWY
Practice Address - Street 2:SUITE 515
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5884
Practice Address - Country:US
Practice Address - Phone:832-912-7777
Practice Address - Fax:832-912-7776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTEMPORARY2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFG0386931OtherDRUG ENFORCEMENT ADMINISTRATION