Gilliland, Michael P
Gilliland, Michael P is an sole proprietor health care provider with primary practice located at 215 Oak Dr S Suite D, Lake Jackson TX 77566-5629. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gilliland, Michael P can be contacted via phone (979) 297-2755.Contact Information
Primary practice address
215 Oak Dr S Suite D
Lake Jackson TX 77566-5629
Phone: (979) 297-2755
Fax: (979) 297-9737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | F3997 | Texas |
Profile Details
| NPI number | 1376538249 |
|---|---|
| LBN Legal business name | Gilliland, Michael P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jul 21st, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376538249 | NPPES |
| Texas | MEDICAID | 097351301 |
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