Individual provider · Type 1 NPI
Ira Richard Gillum, PA C
Physician Assistant · Groveton, TX
Practice location
104 S Devine
Groveton, TX 75845-0104
Fax (936) 642-0849
Mailing address
PO Box 459, 104 S Devine
Groveton, TX 75845-0459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA 00013 (TX) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
Other physician assistant providers in Groveton
About NPI 1528041951
Ira Richard Gillum, PA C's National Provider Identifier is 1528041951, issued on Nov 21, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Groveton, TX. The record was last updated on Jul 13, 2026.