Gillan, Leroy E

Gillan, Leroy E is an individual health care provider with primary practice located at 1600 Central Dr Suite 160, Bedford TX 76022-6000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gillan, Leroy E can be contacted via phone (817) 268-0104.

Contact Information

Primary practice address
1600 Central Dr Suite 160 Bedford TX 76022-6000
Phone: (817) 268-0104
Fax: (817) 268-6102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 010720 Texas

Profile Details

NPI number 1699836593
LBN Legal business name Gillan, Leroy E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699836593 NPPES
Texas MEDICAID 037214601
Texas Other 180403400
Texas Other 430042809
Texas Other CRNA10720
Texas Other 81179U
Texas Other 006895499

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