Doctor profile · Federal record
Dr. Marcene McVay Gillam, MD
Pediatric Surgery Physician · Surgery Physician · Surgery Physician · Pediatric Surgery Physician · Pediatric Surgery Physician · San Antonio, TX
- NPI 1962627984
- 19 yrs on file
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
4502 Medical Dr
San Antonio, TX 782294402
(210) 358-4000
fax (210) 358-4775 - Additional location
-
6151 S Yale Ave Ste 1305
Tulsa, OK 741361907
(918) 494-9450
fax (918) 494-9437 - Additional location
-
3623 Johnson Mill Blvd Ste 101
Springdale, AR 727626412
(479) 222-0190
fax (800) 730-1097 - Mailing address
-
Po Box 6908
Springdale, AR 727666908
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- October 18, 2024
- Specialty taxonomy
- 2086S0120X — NUCC code
- State licenses (3)
- Texas #P3650 · Arkansas #E-4933 · Oklahoma #42264
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962627984. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| KLS-Martin L.P. | 1 | $14.53 |
By nature of payment
Frequently asked questions
What is Dr. Marcene McVay Gillam's medical specialty?
Dr. Marcene McVay Gillam practices Pediatric Surgery Physician in San Antonio, TX.
Where does Dr. Marcene McVay Gillam practice?
Dr. Marcene McVay Gillam practices at 4502 Medical Dr, San Antonio, TX 782294402. Office phone: 2103584000.
What is Dr. Marcene McVay Gillam's NPI?
Dr. Marcene McVay Gillam's National Provider Identifier (NPI) is 1962627984, issued by NPPES.