Gregory L. Lilly is a Specialist in Dallas, Texas. Gregory L. Lilly practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gregory L. Lilly is 1861404501. The last update date is 2022-07-18.
Gregory L. Lilly's current location address is 12222 Merit Dr Ste 600, Dallas, Texas. You can contact this provider via phone number 9727155000 and fax number 9727159976. The mailing address for Gregory L. Lilly is 12222 Merit Dr Ste 600, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory L. Lilly |
|---|---|
| Address | 12222 Merit Dr Ste 600, Dallas, Texas |
| Phone Number | 9727155000 |
| Fax Number | 9727159976 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861404501 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2022-07-18 |
Provider Mailing Address Detail
| Address | 12222 Merit Dr Ste 600 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752513294 |
| Phone Number | 9727155000 |
| Fax Number | 9727159976 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | J1538 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130511201 | TX | -- | |
| 00R33Y | TX | BCBS TX |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gregory L. Lilly by the Centers for Medicare & Medicaid Services?
The Gregory L. Lilly has been issued the NPI (National Provider Identifier) 1861404501 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gregory L. Lilly?
The Gregory L. Lilly is physically situated at 12222 Merit Dr Ste 600, in the city of Dallas, state of TX, with the postal code 752513294.
What is the Gregory L. Lilly's area of specialization and corresponding taxonomy classification?
The Gregory L. Lilly's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Gregory L. Lilly receive the assignment of its 1861404501 from the Centers for Medicare & Medicaid Services?
The Gregory L. Lilly was issued its 1861404501 by the Centers for Medicare & Medicaid Services on 2006-08-12.
When was the information pertaining to Gregory L. Lilly most recently updated or revised?
The details related to Gregory L. Lilly, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-18.