Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dirck Anthony Gillam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730477449

Dirck Anthony Gillam is a Student in an Organized Health Care Education/Training Program in Fort Hood, Texas. Licensed in Louisiana. Registered with an NPI since 2011.

Licensed in
LA
In the registry since
2011

Practice location Address checks out

36065 Santa Fe Ave
Fort Hood, TX 76544-5060
Phone: (254) 287-7388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 045476 (LA)

Record details

NPI number1730477449
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2011
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address36065 Santa Fe Ave, Fort Hood, TX 76544-5060

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