Individual
LILIANA GELVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 535-9041
Mailing address
523 S FANNIN AVE, TYLER, TX 75702-8204
(903) 535-9041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A76652
CA
208000000X
Pediatrics Physician
ME148678
FL
208000000X
Pediatrics Physician
Primary
T2865
TX
2080P0203X
Pediatric Critical Care Medicine Physician
A76652
CA
208M00000X
Hospitalist Physician
A76652
CA
208M00000X
Hospitalist Physician
ME148678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A766520
—
CA
Enumeration date
01/29/2007
Last updated
08/23/2023
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