Vickie L. Gillman is a Pediatrics in Dallas, Texas. Vickie L. Gillman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Vickie L. Gillman is 1104825355. The last update date is 2008-11-22.
Vickie L. Gillman's current location address is 5201 Harry Hines Blvd, Dallas, Texas. You can contact this provider via phone number 2145908006. The mailing address for Vickie L. Gillman is 5201 Harry Hines Blvd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Vickie L. Gillman |
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Address | 5201 Harry Hines Blvd, Dallas, Texas |
Phone Number | 2145908006 |
Fax Number | |
Sole Proprietor | N |
Credentials | PNP |
NPI Number Detail
NPI Number | 1104825355 |
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Provider Enumeration Date | 2005-07-19 |
Last Updated Date | 2008-11-22 |
Provider Mailing Address Detail
Address | 5201 Harry Hines Blvd |
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City | Dallas |
State | Texas (TX) |
Post Code | 752357708 |
Phone Number | 2145908006 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 363Lp0200X |
Licence No | 438987 |
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
41545704 | TX | -- | |
8N4801 | TX | BLUE CROSS BLUE SHIELD | |
41545702 | TX | -- | |
41545705 | TX | -- |
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What is the unique identification code assigned to Vickie L. Gillman by the Centers for Medicare & Medicaid Services?
The Vickie L. Gillman has been issued the NPI (National Provider Identifier) 1104825355. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Vickie L. Gillman?
The Vickie L. Gillman is physically situated at 5201 Harry Hines Blvd, in the city of Dallas, state of TX, with the postal code 752357708.
What is the Vickie L. Gillman's specialty and taxonomy code?
The Vickie L. Gillman's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104825355 to Vickie L. Gillman?
The Vickie L. Gillman received its 1104825355 assignment from the Centers for Medicare & Medicaid Services on 2005-07-19.
As of what date were the Vickie L. Gillman's details last updated?
The information pertaining to the Vickie L. Gillman, including its address, specialty, and other details, was most recently updated on 2008-11-22.