Individual
GARRY W KILLYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S
Contact information
Practice address
13111 EAST FWY STE 106, HOUSTON, TX 77015-5819
(713) 453-7186
(713) 453-3003
Mailing address
13111 EAST FWY STE 106, HOUSTON, TX 77015-5819
(713) 453-7186
(713) 453-3003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M2673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033141501
—
TX
Enumeration date
10/12/2006
Last updated
07/08/2007
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