Individual
BRIAN K MACGILLIVRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19054 STONE OAK PKWY STE 102, SAN ANTONIO, TX 78258-3460
(210) 447-9275
(210) 447-9279
Mailing address
19054 STONE OAK PKWY STE 102, SAN ANTONIO, TX 78258-3460
(210) 447-9275
(210) 447-9279
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M3304
TX
207Q00000X
Family Medicine Physician
Primary
M3304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179874604
—
TX
01
—
8AH273
BCBS
TX
Enumeration date
11/25/2005
Last updated
09/08/2025
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