Individual
GORDANA GLIGORIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4242 MEDICAL DR, SUITE 6100, SAN ANTONIO, TX 78229-5640
(210) 807-3889
(210) 888-5851
Mailing address
PO BOX 1182, HELOTES, TX 78023-1182
(210) 807-3889
(210) 888-5851
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
L3660
TX
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
L3660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020861T
HUMANA
TX
05
—
166489801
—
TX
01
—
4310797
BLULINK
TX
01
—
7219671
AETNA
TX
01
—
8H4105
BCBS
TX
Enumeration date
08/11/2006
Last updated
10/21/2009
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