Gilliam, Donna Lynn

Gilliam, Donna Lynn is an individual health care provider with primary practice located at 1761 Highway 46 W Ste 104 , New Braunfels TX 78132-4750. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gilliam, Donna Lynn can be contacted via phone (830) 608-1575.

Contact Information

Primary practice address
1761 Highway 46 W Ste 104 New Braunfels TX 78132-4750
Phone: (830) 608-1575
Fax: (830) 608-0868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03687 Texas

Profile Details

NPI number 1083726459
LBN Legal business name Gilliam, Donna Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083726459 NPPES
Texas Other H0143584 DPS
Texas Other PA03687 DPS
Texas MEDICAID 218278401 DPS

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