Gillman, Vickie L.

Gillman, Vickie L. is an individual health care provider with primary practice located at 5201 Harry Hines Blvd Medical Staff Services, Dallas TX 75235-7708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gillman, Vickie L. can be contacted via phone (214) 590-8006.

Contact Information

Primary practice address
5201 Harry Hines Blvd Medical Staff Services Dallas TX 75235-7708
Phone: (214) 590-8006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 438987 Texas

Profile Details

NPI number 1104825355
LBN Legal business name Gillman, Vickie L.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Nov 22nd, 2008 - about 17 years ago

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 1104825355 NPPES
Texas MEDICAID 041545704
Texas Other 8N4801
Texas MEDICAID 041545702
Texas MEDICAID 041545705

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