Organization
GILYARD MEDICAL AND ONCOLOGY MASSAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBLYN GILYARD RN (PRESIDENT)
(210) 861-7828
Entity
Organization
Contact information
Practice address
7400 BLANCO RD STE 122, SAN ANTONIO, TX 78216-4361
(210) 861-7828
Mailing address
7400 BLANCO RD STE 122, SAN ANTONIO, TX 78216-4361
(210) 861-7828
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MT040302
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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