DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LESLIE SHANE GILLIAM, MD

Active Sole Proprietor

LESLIE SHANE GILLIAM, MD is a Family Medicine healthcare provider located in STEPHENVILLE, Texas. NPI 1073580916 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · STEPHENVILLE, TX

Registration Details

NPI Number
1073580916
Provider Type
Individual
Gender
Male
NPI Issued
Feb 28, 2006 (20.421877221559 yrs)
Last Updated
Dec 9, 2016
License
L7278 (TX)
Sole Proprietor
Yes

Practice Information

Address
205 E FREY ST STE 201
STEPHENVILLE, TX, 764012600
Browse TX providers · Browse ZIP 76401
Phone
2549652313
Fax
2549652363
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in STEPHENVILLE, TX

Name Credential NPI
DR. KAM IP M.D. 1174529523
DR. KELLY SMITH DOGGETT M.D. 1417913344
DR. MARILYN BRISTER MD 1457371338
MRS. LINDA LOAR HEFLIN M.D. 1871516385
CLAYTON K ROBERTS D.O. 1174695530
CHRISTY LYNN KERR M.D. 1023274024
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.