Douglas Terry Gillis is a Las Cruces, New Mexico based male podiatrist who is specialized in Podiatry. Active license number of Douglas Terry Gillis for Podiatry is 196 in New Mexico. Douglas Terry Gillis is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Douglas Terry Gillis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
780 S Walnut St, Suite 3, Las Cruces, New Mexico, 88001-1425
Phone:
505-525-3980
Fax:
505-526-8529
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1689667792
NPI Enumeration Date:
24 Aug, 2005
NPI Last Update On:
29 Oct, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglas Terry Gillis are as mentioned below.
License Number
Specialization
State
Status
196
Podiatry
New Mexico
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Douglas Terry Gillis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0469220001
Other
New Mexico
DMERC
88001A00Z
Other
New Mexico
TRICARE WPS
52993
Medicaid
New Mexico
16042
Other
New Mexico
PRESBYTERIAN
NM005364
Other
New Mexico
BC BS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
780 S Walnut St, Suite 3 Las Cruces, New Mexico
Zip:
88001-1425
Phone Number:
505-525-3980
Fax Number:
505-526-8529
Patients can reach Douglas Terry Gillis at 780 S Walnut St, Suite 3, Las Cruces, New Mexico or can call to book an appointment on 505-525-3980. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.