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Shane Gilliam, M.d., P.a.
Primary Care Clinic/Center in Stephenville, Texas
NPI 1891003802

Shane Gilliam, M.d., P.a. is a Primary Care Clinic/Center based in Stephenville, TX and is specialized in Primary Care. Shane Gilliam, M.d., P.a. practices in Stephenville, TX. The NPI Number for Shane Gilliam, M.d., P.a. is 1891003802 and holds a License No. L7278 (Texas).

The current practice location address for Shane Gilliam, M.d., P.a. is 630 N Graham Street, Stephenville, TX and can be reached out via phone at 254-965-8760 and via fax at 254-965-8766.

Location: 630 N Graham Street, Stephenville, TX, 76401-3552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891003802
Provider Name
Shane Gilliam, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
630 N Graham Street, Stephenville, TX, 76401-3552
Phone Number
254-965-8760
Fax Number
254-965-8766
Provider Enumeration Date
09/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
630 N Graham Street
City
Stephenville
State
Texas
Zip
76401-3552
Phone Number
254-965-8760
Fax Number
254-965-8766
person
Provider Business Mailing Address Details
Address
630 N Graham Street
City
Stephenville
State
Texas
Zip
76401-3552
Phone Number
254-965-8760
Fax Number
254-965-8766
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
L7278 (Texas)
Definition
Definition to come...
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