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Organization

CHRISTINE L. GILLIAM, MD PA

Active
Other names
Everyone's ENT and Sinus Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTINE L. GILLIAM MD (OWNER)
(210) 647-3838
Entity
Organization

Contact information

Practice address
502 MADISON OAK DR, SUITE 140, SAN ANTONIO, TX 78258-4084
(210) 647-3838
(210) 403-3166
Mailing address
502 MADISON OAK DR, SUITE 140, SAN ANTONIO, TX 78258-4084
(210) 647-3838
(210) 403-3166

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M3234
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0048RR
BLUE CROSS
TX
Enumeration date
09/08/2008
Last updated
08/20/2012
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