Individual
REBECCA R. GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
18707 HARDY OAK BLVD STE 530, SAN ANTONIO, TX 78258-4791
(210) 495-8280
(210) 481-3116
Mailing address
7142 SAN PEDRO AVE STE 102, SAN ANTONIO, TX 78216-6255
(210) 661-5622
(210) 481-3116
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP126539
TX
Other
Enumeration date
10/09/2014
Last updated
08/19/2021
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