Ira Richard Gillum is a Physician Assistant based in Groveton, TX. Ira Richard Gillum practices in Groveton, TX and has the professional credentials of PAC. The NPI Number for Ira Richard Gillum is 1528041951 and holds a License No. PA 00013 (Texas).
The current practice location address for Ira Richard Gillum is 104 S Devine, Groveton, TX and can be reached out via phone at 936-642-0841 and via fax at 936-642-0849.
Identifier | Type | State | Issuer |
---|---|---|---|
PA 00013 | 01 | TX | LICENSE |
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