Individual
MR. MATTHEW GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3131 TIMMONS LN APT 3301, HOUSTON, TX 77027-6085
(414) 702-2045
Mailing address
3131 TIMMONS LN APT 3301, HOUSTON, TX 77027-6085
(414) 702-2045
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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