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Michael P. Gilliland, M.d., P.a.
Specialist in Lake Jackson, Texas
NPI 1174803134

Michael P. Gilliland, M.d., P.a. is a Specialist based in Lake Jackson, TX. Michael P. Gilliland, M.d., P.a. practices in Lake Jackson, TX. The NPI Number for Michael P. Gilliland, M.d., P.a. is 1174803134 and holds a License No. F3997 (Texas).

The current practice location address for Michael P. Gilliland, M.d., P.a. is 215 Oak Dr S Ste D, Lake Jackson, TX and can be reached out via phone at 979-297-2755 and via fax at 979-297-9737.

Location: 215 Oak Dr S Ste D, Lake Jackson, TX, 77566-5617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174803134
Provider Name
Michael P. Gilliland, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
215 Oak Dr S Ste D, Lake Jackson, TX, 77566-5617
Phone Number
979-297-2755
Fax Number
979-297-9737
Provider Enumeration Date
08/23/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00AG37 01 TX MEDICARE ID
097351301 05 TX
institution
Provider Business Practice Location Address Details
Address
215 Oak Dr S Ste D
City
Lake Jackson
State
Texas
Zip
77566-5617
Phone Number
979-297-2755
Fax Number
979-297-9737
person
Provider Business Mailing Address Details
Address
215 Oak Dr S Ste D
City
Lake Jackson
State
Texas
Zip
77566-5617
Phone Number
979-297-2755
Fax Number
979-297-9737
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
F3997 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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