Provider / Organization | NPI | Date Certified |
---|---|---|
JASON WESLEY GILLMAN | 1427219690 | 2008-06-20 |
Jason Gillman [M] graduated in 2008 and primarily specializes in Infectious Disease.
Jason Wesley Gillman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1427219690. Registration indicates Jason Wesley Gillman is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine (Internal Medicine: Infectious Disease, ) (Specialist Network, ) (Internal Medicine Infectious Disease, Allopathic & Osteopathic Physicians) (Internal Medicine, )
PECOS ID | 2860633591 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Jason Wesley Gillman MD |
Practice Office Address | 1717 MAIN ST STE 5850 DALLAS, TX US |
Practice Office Telephone | 9724490540 |
Mailing Address | 1717 MAIN ST STE 5850 DALLAS, TX 752017317 US |
Business Telephone | 9724490540 |
Code | Practice | License No State |
---|---|---|
207RI0200X PRIMARY | Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Infectious Disease Specialist Network Internal Medicine Infectious Disease Allopathic & Osteopathic Physicians Internal Medicine | N4429
TX |