Individual
MR. MARK DOUGLAS GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
484 N POST OAK LN, HOUSTON, TX 77024-5911
(713) 303-9714
Mailing address
484 N POST OAK LN, HOUSTON, TX 77024-5911
(713) 303-9714
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
N/A
—
Other
Enumeration date
02/27/2011
Last updated
02/27/2011
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