Provider Demographics
NPI:1871969618
Name:GILL, GURSIMRAN SINGH (DC)
Entity type:Individual
Prefix:DR
First Name:GURSIMRAN
Middle Name:SINGH
Last Name:GILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 FOREST OAKS LN STE B
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-4959
Mailing Address - Country:US
Mailing Address - Phone:972-210-0033
Mailing Address - Fax:972-210-0034
Practice Address - Street 1:800 FOREST OAKS LN STE B
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-4959
Practice Address - Country:US
Practice Address - Phone:972-210-0033
Practice Address - Fax:972-210-0034
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor