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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