CHRISTINE L. GILLIAM, MD PA
Medical Practice at Madison Oak Dr, San Antonio, TX

License number
Texas M3234
Category
Medical Practice
Type
Otolaryngology
Owner
Name: DR. CHRISTINE L. GILLIAM MD
Title: OWNER
Phone: (210) 647-3838
Address
Address
502 Madison Oak Dr SUITE 140, San Antonio, TX 78258
National Provider ID: 1023266574
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHRISTINE L. GILLIAM, M.D., PA

502 Madison Oak Dr STE 140, San Antonio, TX 78258

Industry:
Medical Doctor's Office
Registration:
May 17, 2007
State ID:
0800817278
Business type:
Professional Association
Director, Member, President:
Christine L. Gilliam (Director, Member, President)
Agent:
Christine L Gilliam,502 Madison Oak SUITE 140, San Antonio, TX 78258 (Physical)
TIN:
32035019523

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