Individual
DR. LEON IRA GILNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 E SAN ANTONIO ST, SUITE 510E, VICTORIA, TX 77901-6050
(623) 374-2521
(623) 374-7081
Mailing address
1940 W SPIRIT CT, ANTHEM, AZ 85086-1829
(623) 374-2521
(623) 374-7081
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
J7497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8A0022
BLUE CROSS
TX
Enumeration date
05/28/2005
Last updated
06/20/2011
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