Individual
DR. GRANT D GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9301 N CENTRAL EXPY, SUITE 595, DALLAS, TX 75231-0806
(214) 522-7733
(214) 521-5433
Mailing address
9301 N CENTRAL EXPY, SUITE 595, DALLAS, TX 75231-0806
(214) 522-7733
(214) 521-5433
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H6240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138928012
—
TX
Enumeration date
06/17/2006
Last updated
08/01/2013
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