Clarence E Gilmore Iv, MD | |
6411 Fannin St, Houston, TX 77030-1501 | |
(713) 500-6200 | |
(713) 500-6201 |
Full Name | Clarence E Gilmore Iv |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 31 Years |
Location | 6411 Fannin St, Houston, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578506440 | NPI | - | NPPES |
8F7531 | Other | TX | BCBS |
150667703 | Medicaid | TX | |
8X6103 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | J6457 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Harris Health System | Houston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ut Physicians | 8426960360 | 1400 |
Entity Name | Ut Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
Mailing Address | Practice Location Address |
---|---|
Clarence E Gilmore Iv, MD Po Box 301173, Dallas, TX 75303-1173 Ph: (713) 500-3500 | Clarence E Gilmore Iv, MD 6411 Fannin St, Houston, TX 77030-1501 Ph: (713) 500-6200 |
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