Individual
MARCENE R. MCVAY GILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 358-4775
Mailing address
PO BOX 6908, SPRINGDALE, AR 72766-6908
(501) 349-3182
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-4933
AR
208600000X
Surgery Physician
P3650
TX
2086S0120X
Pediatric Surgery Physician
42264
OK
2086S0120X
Pediatric Surgery Physician
E-4933
AR
2086S0120X
Pediatric Surgery Physician
Primary
P3650
TX
Other
Enumeration date
04/16/2007
Last updated
10/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us