Provider Demographics
NPI:1104639285
Name:GILL, JAGJIT SINGH
Entity type:Individual
Prefix:
First Name:JAGJIT
Middle Name:SINGH
Last Name:GILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10902 TOBAR FALLS CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-3134
Mailing Address - Country:US
Mailing Address - Phone:832-919-4919
Mailing Address - Fax:
Practice Address - Street 1:10902 TOBAR FALLS CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-3134
Practice Address - Country:US
Practice Address - Phone:832-919-4919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)