SearchTexas237700000X

Michael Gilliam

NPI 1598923658 · on the registry since 2008

Practice

Address
1315 Walnut St
Texarkana, TX 75501
Phone
(903) 794-3767
Fax
(903) 794-3493
Clinicians at this address
21

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-27

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