Individual
JESSE GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
560 E CENTRAL TEXAS EXPY, #102, HARKER HEIGHTS, TX 76548-5727
(254) 698-1600
(254) 698-1605
Mailing address
560 E CENTRAL TEXAS EXPY, #102, HARKER HEIGHTS, TX 76548-5727
(254) 698-1600
(254) 698-1605
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC# 01246
TX
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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