FAMILY MEDICINE ASSOCIATES OF STEPHENVILLE
NPI 1891003802
Clinic/Center - Primary Care in Stephenville, TX

Q: What is Shane Gilliam, M.D., P.A.'s NPI number?

The NPI number for Shane Gilliam, M.D., P.A. is 1891003802. It was assigned to this organization in the NPPES registry on September 24, 2010. The provider is also known as Family Medicine Associates Of Stephenville.

Q: What is Shane Gilliam, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 24, 2010

630 N GRAHAM STREET, STEPHENVILLE, TX 76401(254) 965-8760(254) 965-8766 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Family Medicine Associates Of Stephenville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICINE ASSOCIATES OF STEPHENVILLE (NPI 1891003802) is a healthcare organization registered as a primary care in Stephenville, Texas and active in the NPI registry since September 2010. The organization lists Leslie Shane Gilliam, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1891003802

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSHANE GILLIAM, M.D., P.A.

Location Address630 N GRAHAM STREETStephenville, TX 76401-3552

Mailing Address630 N Graham StreetStephenville, TX 76401-3552 · (254) 965-8760 · Fax (254) 965-8766

Phone(254) 965-8760

Fax(254) 965-8766

Organization SubpartNo

Authorized OfficialLeslie Shane GilliamPhysician/owner · (254) 965-8760

Enumeration DateSeptember 24, 2010

✔ NPI 1891003802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in TX · L7278

630 N GRAHAM STREET, Stephenville, TX 76401

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Other Names 1

Other NameFamily Medicine Associates Of Stephenville

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 Shane Gilliam, M.D., P.A.'s NPI number?

The NPI number for Shane Gilliam, M.D., P.A. is 1891003802. It was assigned to this organization in the NPPES registry on September 24, 2010. The provider is also known as Family Medicine Associates Of Stephenville.

Where is Shane Gilliam, M.D., P.A. located?

Shane Gilliam, M.D., P.A. is located at 630 N Graham Street, Stephenville, TX 76401. The listed phone number is (254) 965-8760.

What is Shane Gilliam, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Shane Gilliam, M.D., P.A. was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.