MR. IRA RICHARD GILLUM PA C
NPI 1528041951
Physician Assistant in Groveton, TX
About Mr. Ira Richard Gillum Pa C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. IRA RICHARD GILLUM PA C (NPI 1528041951) is an individual physician assistant in Groveton, Texas, licensed in Texas (PA 00013) and active in the NPI registry since November 2005.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ira Gillum's NPI number?
The NPI number for Ira Gillum is 1528041951. It was assigned to this individual provider in the NPPES registry on November 21, 2005.
Where is Ira Gillum located?
Ira Gillum practices at 104 S Devine, Groveton, TX 75845. The listed phone number is (936) 642-0841.
What is Ira Gillum's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
When was this NPI record last updated?
The NPPES record for Ira Gillum was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.