Organization
GEORGE RYAN GILLIGAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE RYAN GILLIGAN MD (OWNER)
(214) 536-6852
Entity
Organization
Contact information
Practice address
1513 BONHAM CT, IRVING, TX 75038-5929
(214) 536-6852
Mailing address
1513 BONHAM CT, IRVING, TX 75038-5929
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
M0731
TX
282E00000X
Long Term Care Hospital
Primary
M0731
TX
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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