Leslie Shane Gilliam, MD
NPI #1073580916 in Stephenville, Texas
Provider Information
- NPI Number
- 1073580916
- Entity Type
- Individual
- Name
- Leslie Shane Gilliam, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Feb 28, 2006
- Last Updated
- Dec 9, 2016
Practice Location
- Address
- 205 E FREY ST STE 201
- City
- Stephenville
- State
- Texas
- ZIP Code
- 76401-2600
- Phone
- (254) 965-2313
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