DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARCENE R. MCVAY GILLAM, MD

Active

MARCENE R. MCVAY GILLAM, MD is a Pediatric Surgery healthcare provider located in SAN ANTONIO, Texas. NPI 1962627984 is currently active in the NPPES registry. Verify at CMS.

Pediatric Surgery · SAN ANTONIO, TX

Registration Details

NPI Number
1962627984
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2007 (19.353535946493 yrs)
Last Updated
Oct 18, 2024
Licenses
P3650 (TX)
E-4933 (AR)
42264 (OK)
E-4933 (AR)
P3650 (TX)

Practice Information

Address
4502 MEDICAL DR
SAN ANTONIO, TX, 782294402
Browse TX providers · Browse ZIP 78229
Phone
2103584000
Fax
2103584775
Primary Specialty
Pediatric Surgery
2086S0120X
Additional Specialty
General Surgery
Additional Specialty
Pediatric Surgery
Additional Specialty
Pediatric Surgery
Additional Specialty
Pediatric Surgery

Other Pediatric Surgery Providers in SAN ANTONIO, TX

Name Credential NPI
DR. CHARLES EUGENE BALDWIN M.D. 1104820554
MARY BETH MADONNA MD 1265427108
SRIKUMAR PILLAI MD 1518953538
MILISSA A MCKEE MD 1104809326
ANN O CONNOR MD 1154309284
DR. FRANK M ROBERTSON M.D. 1043283534
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.