SearchTexasPhysician Assistant

Ira Gillum, PA C

NPI 1528041951 · on the registry since 2005

Practice

Address
104 S Devine
Groveton, TX 75845
Phone
(936) 642-0841
Fax
(936) 642-0849

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas