Organization · Type 2 NPI
Shane Gilliam, M.d., P.a.
Primary Care Clinic/Center · Stephenville, TX
NPI number
1891003802
Active
Practice location
630 N Graham Street
Stephenville, TX 76401-3552
Fax (254) 965-8766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | L7278 (TX) |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Stephenville
About NPI 1891003802
Shane Gilliam, M.d., P.a.'s National Provider Identifier is 1891003802, issued on Sep 24, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Stephenville, TX. The record was last updated on Sep 24, 2010.