| Organization Name: | JEFFREY GILROY MD PA |
| NPI Number: | 1013372010 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY GILROY (OWNER/PHYSICIAN) |
| Mailing Address: | 721 Clinic Dr Tyler |
| State: | TX US |
| Postal Code: | 757012043 |
| Phone Number: | 9035955550 |
| Fax Number: | 9035356887 |
| NPI Enumeration Date: | 12/18/2015 |
| NPI Last Update Date: | 12/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0203X |
| License Number: | Q0444 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Therapeutic Radiology |
| Taxonomy Definition: | |