| NPI | 1073580916 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-02-28 |
| Last Updated | 2016-12-09 |
| Mailing Address | 205 E Frey St Ste 201 Stephenville, TX 76401-2600 United States Phone: (254) 965-2313 | Fax: (254) 965-2363 📍 View Map |
| Primary Practice Address | 205 E Frey St Ste 201 Stephenville, TX 76401-2600 United States Phone: (254) 965-2313 | Fax: (254) 965-2363 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | TX | L7278 |
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About NPI 1073580916
Leslie Shane Gilliam MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073580916. The primary specialty listed is Family Medicine. The provider is located in Stephenville, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-02-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073580916?
NPI 1073580916 belongs to Leslie Shane Gilliam MD, a Family Medicine in Stephenville, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073580916 active?
The current status of NPI 1073580916 in the NPPES registry is Active. The record was last updated on 2016-12-09.
What specialty is NPI 1073580916?
NPI 1073580916 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073580916?
You can verify NPI 1073580916 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073580916?
The primary practice address on file for NPI 1073580916 is 205 E Frey St Ste 201, Stephenville, TX 76401-2600. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073580916 issued?
NPI 1073580916 was first issued (enumerated) on 2006-02-28. The NPPES record was last updated on 2016-12-09.
Practice Location Map
Leslie Shane Gilliam is located at 205 E Frey St Ste 201, Stephenville, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Leslie Shane Gilliam. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1073580916. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | L7278 | TX |