Organization
MICHAEL B. GILLIAM
Active
Organization
MICHAEL B. GILLIAM
Active
Other names
Mike Gilliam Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BRUCE GILLIAM (OWNER, DISPENSER)
(903) 832-4327
Entity
Organization
Contact information
Practice address
3101 KENNEDY LN, SUITE 300, TEXARKANA, TX 75503-2457
(903) 832-4327
(903) 831-2799
Mailing address
3101 KENNEDY LN, SUITE 300, TEXARKANA, TX 75503-2457
(903) 832-4327
(903) 831-2799
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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