NPI 1093131534
Michael B. Gilliam
Practice location
- Address
- 3101 Kennedy Ln Suite 300, Texarkana, TX 75503-2457
- Phone
- (903) 832-4327
- Fax
- (903) 831-2799
Authorised official
- Name
- Michael Bruce Gilliam
- Title
- Owner, Dispenser
- Phone
- (903) 832-4327
Registered specialties
Hearing Aid Equipment
Primary
Registry record
- NPI
- 1093131534
- Entity type
- Organization
- NPI issued
- 7 Mar 2014
- Record last updated
- 7 Mar 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.