Leslie Shane Gilliam in Stephenville - Family Medicine
Leslie Shane Gilliam - NPI 1073580916
Leslie Shane Gilliam is a Family Medicine in Stephenville, Texas. Leslie Shane Gilliam practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Leslie Shane Gilliam is 1073580916. The last update date is 2016-12-09.
Leslie Shane Gilliam's current location address is 205 E Frey St Ste 201, Stephenville, Texas. You can contact this provider via phone number 2549652313 and fax number 2549652363. The mailing address for Leslie Shane Gilliam is 205 E Frey St Ste 201, Stephenville, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leslie Shane Gilliam |
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Address | 205 E Frey St Ste 201, Stephenville, Texas |
Phone Number | 2549652313 |
Fax Number | 2549652363 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1073580916 |
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Provider Enumeration Date | 2006-02-28 |
Last Updated Date | 2016-12-09 |
Provider Mailing Address Detail
Address | 205 E Frey St Ste 201 |
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City | Stephenville |
State | Texas (TX) |
Post Code | 764012600 |
Phone Number | 2549652313 |
Fax Number | 2549652363 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | L7278 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code assigned to Leslie Shane Gilliam by the Centers for Medicare & Medicaid Services?
The Leslie Shane Gilliam has been issued the NPI (National Provider Identifier) 1073580916 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Leslie Shane Gilliam is physically located?
The Leslie Shane Gilliam is physically situated at the following address: 205 E Frey St Ste 201, Stephenville, TX, 764012600.
What is Leslie Shane Gilliam's area of expertise and its corresponding taxonomy classification?
The Leslie Shane Gilliam's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073580916 to Leslie Shane Gilliam?
The Centers for Medicare & Medicaid Services originally issued the 1073580916 to Leslie Shane Gilliam on 2006-02-28.
When was the information regarding Leslie Shane Gilliam most recently updated?
The details pertaining to the Leslie Shane Gilliam, including its address, specialty, and other relevant information, were last refreshed on 2016-12-09.