Dr Jonathan David Gilmore, MD | |
1434 W Us Highway 287 Byp Ste 400, Waxahachie, TX 75165-5007 | |
(469) 550-7050 | |
(469) 550-7051 |
Full Name | Dr Jonathan David Gilmore |
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Gender | Male |
Speciality | Pediatrics |
Location | 1434 W Us Highway 287 Byp Ste 400, Waxahachie, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962964106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | T5906 (Texas) | Primary |
208000000X | Pediatrics | MD-51504 (Iowa) | Secondary |
Entity Name | State University Of Iowa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan David Gilmore, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Dr Jonathan David Gilmore, MD 1434 W Us Highway 287 Byp Ste 400, Waxahachie, TX 75165-5007 Ph: (469) 550-7050 |
Travis Scott Henry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 N Highway 77, Suite 200, Waxahachie, TX 75165 Phone: 972-923-1686 Fax: 972-937-7731 | |
Peggy Fenton Linguist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 411 E Jefferson St, Waxahachie, TX 75165 Phone: 972-923-2440 Fax: 972-923-2445 | |
Haley Elyse Wagner, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 505 N Highway 77, Suite 200, Waxahachie, TX 75165 Phone: 972-923-1686 Fax: 972-923-9268 | |
Mary Jean Strength, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1710 W Highway 287 Business Ste 100, Waxahachie, TX 75165 Phone: 972-937-1221 Fax: 972-937-7878 | |
Deborah Chan Fung, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 N Highway 77, Suite 200, Waxahachie, TX 75165 Phone: 972-923-1686 Fax: 972-923-9268 |