Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leslie Shane Gilliam, MD

Individual provider Family Medicine Physician · NPI 1073580916

Leslie Shane Gilliam, MD is a Family Medicine Physician in Stephenville, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

205 E Frey St Ste 201
Stephenville, TX 76401-2600
Phone: (254) 965-2313
Fax: (254) 965-2363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence L7278 (TX)

Record details

NPI number1073580916
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 28, 2006
Last updated in NPPESDecember 9, 2016

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