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Contact Information

W B GILLESPIE, DPM
19222 STONEHUE STE 104
SAN ANTONIO, TX78258-3454
 Phone: 210-490-6408
 Fax: 210-490-6419
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for W B GILLESPIE · (Male)

NPI # 1144331083
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/31/2006
Last updated 01/07/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 1084
  • TX Medicaid 127195904
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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