| Cyril E Gillman, MD | |
|
13111 East Fwy, Houston, TX 77015-5820 | |
| (713) 393-2000 | |
| (713) 393-2714 |
| Full Name | Cyril E Gillman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 13111 East Fwy, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326024654 | NPI | - | NPPES |
| 168727901 | Medicaid | TX | |
| 1326024654 | Other | TX | BCBSTX |
| 8G4117 | Other | TX | BCBSTX PROV NO |
| 1326024654 | Other | TX | TRICARE SOUTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | L8700 (Texas) | Primary |
| Entity Name | Tk Emergency Physicians Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942728019 PECOS PAC ID: 2567799091 Enrollment ID: O20190807000556 |
| Entity Name | Round Table Physicians Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023439114 PECOS PAC ID: 0547682460 Enrollment ID: O20200623002513 |
| Entity Name | Fm2100 Emergency Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255806410 PECOS PAC ID: 6901242445 Enrollment ID: O20240307000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Cyril E Gillman, MD Po Box 200993, Houston, TX 77216-0993 Ph: (281) 784-1111 | Cyril E Gillman, MD 13111 East Fwy, Houston, TX 77015-5820 Ph: (713) 393-2000 |
Dr. Taketo Baba, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Aisha C Haynie, MD, MPA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2223 West Loop S, Houston, TX 77027 Phone: 713-439-6913 | |
Hashim Zaidi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6411 Fannin St, Houston, TX 77030 Phone: 713-500-7878 | |
Dr. Miguel A Nieto, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1504 Taub Loop, Emergency Center, Houston, TX 77030 Phone: 713-873-7045 | |
Dr. Louis Bruno Fornage, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 Taub Loop, Houston, TX 77030 Phone: 713-873-3060 Fax: 713-873-2325 | |
Amy Rossi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St, Jjl 431, Houston, TX 77030 Phone: 713-500-7882 | |
Lara Samarneh, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St., Jjl270, Houston, TX 77030 Phone: 713-500-0758 Fax: 713-500-0758 |