Lauren Elizabeth Gilliam, is a
Physician Assistant - Surgical physician based in Fort Worth, Texas. Lauren Elizabeth Gilliam is licensed to practice in Texas (license number PA19265) and her current practice location is 800 5th Ave Ste 500, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 250-4280.
NPI number for Lauren Elizabeth Gilliam is 1104628015 and her current mailing address is 138 Foxpointe Cir, Weatherford, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104628015.
Physician's Profile
| Full Name | Lauren Elizabeth Gilliam |
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| Gender | Female |
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| Speciality | Physician Assistant - Surgical |
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| Location | 800 5th Ave Ste 500, Fort Worth, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104628015
- Provider Enumeration Date: 03/24/2025
- Last Update Date: 08/15/2025
Medical Identifiers
Medical identifiers for Lauren Elizabeth Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104628015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207T00000X | Neurological Surgery | 799456 (Texas) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA19265 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lauren Elizabeth Gilliam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lauren Elizabeth Gilliam, 138 Foxpointe Cir, Weatherford, TX 76087-5430 Ph: (817) 991-5844 | Lauren Elizabeth Gilliam, 800 5th Ave Ste 500, Fort Worth, TX 76104-7304 Ph: (817) 250-4280 |
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