Individual
MICHAEL GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3250 FANNIN ST, BEAUMONT, TX 77701
(409) 212-7000
Mailing address
3250 FANNIN ST, BEAUMONT, TX 77701-3903
(409) 212-7000
(409) 212-5265
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R0236
TX
Other
Enumeration date
05/07/2014
Last updated
06/02/2018
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