Penny Gilliam in Dallas - Nurse Anesthetist, Certified Registered

Penny Gilliam - NPI 1942314299

Penny Gilliam is a Nurse Anesthetist, Certified Registered in Dallas, Texas. Penny Gilliam practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Penny Gilliam is 1942314299. The last update date is 2018-06-11.

Penny Gilliam's current location address is 6606 Lbj Fwy Ste 200, Dallas, Texas. You can contact this provider via phone number 9727155000 and fax number 9727159976. The mailing address for Penny Gilliam is 6606 Lbj Fwy Ste 200, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Penny Gilliam
Address 6606 Lbj Fwy Ste 200, Dallas, Texas
Phone Number 9727155000
Fax Number 9727159976
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1942314299
Provider Enumeration Date 2006-08-17
Last Updated Date 2018-06-11

Provider Mailing Address Detail

Address 6606 Lbj Fwy Ste 200
City Dallas
State Texas (TX)
Post Code 75240
Phone Number 9727155000
Fax Number 9727159976

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 746269
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200877301 TX --
200877303 TX --
301352900 FL --
200877302 TX --
P00786663 TX RAILROAD
8008UU TX BLUE CROSS BLUE SHIELD
G1916 FL BLUE CROSS BLUE SHIELD

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FAQs about Penny Gilliam

What is the Penny Gilliam's 1942314299?

The Penny Gilliam's NPI (National Provider Identifier) Number is 1942314299. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Penny Gilliam?

The Penny Gilliam is situated at 6606 Lbj Fwy Ste 200, in the city of Dallas, state of TX, with the zip code 75240.

What is Penny Gilliam's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Penny Gilliam is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.

On what date was the 1942314299 assigned to Penny Gilliam?

The Penny Gilliam was issued its 1942314299 on 2006-08-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Penny Gilliam most recently updated or revised?

The information pertaining to Penny Gilliam, including its address, specialty, and other relevant details, was last updated or revised on 2018-06-11.

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