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Richard Gillam

Physical Therapist in Dallas, TX. Individual provider (NPI-1).

NPI number1639005168
StatusActive
Last updated in NPPESJun 22, 2026

Details

NPI
1639005168
Entity type
Individual (NPI-1)
Name
Richard Gillam
Sex
Male
Sole proprietor
No
Enumeration date
Jun 22, 2026
Certification date
Jun 22, 2026
Last updated
Jun 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist–TXYes

Practice location

6011 Harry Hines Blvd
Dallas, TX 75235-5386

Phone 214-648-1555

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-7201

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