Individual provider · Type 1 NPI
Reef Royal Gillum, DO
Surgery Physician · Grapevine, TX
Practice location
612 E Dallas Rd, Suite 300
Grapevine, TX 76051
Fax (972) 552-5598
Mailing address
PO Box 190
Forney, TX 75126-0190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | J8248 (TX) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
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About NPI 1962734764
Reef Royal Gillum, DO's National Provider Identifier is 1962734764, issued on Feb 3, 2010. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Grapevine, TX. The record was last updated on Feb 3, 2010.