Provider Demographics
NPI:1700965928
Name:GILL, JOHN TORBET (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:TORBET
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8230 WALNUT HILL LN
Mailing Address - Street 2:SUITE 708
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4431
Mailing Address - Country:US
Mailing Address - Phone:214-890-0906
Mailing Address - Fax:214-890-0929
Practice Address - Street 1:8230 WALNUT HILL LN
Practice Address - Street 2:SUITE 708
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4431
Practice Address - Country:US
Practice Address - Phone:214-890-0906
Practice Address - Fax:214-890-0929
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3393207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB121677Medicare PIN
TXC16107Medicare UPIN
TX0273480001Medicare NSC