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

Marcene R. McVay Gillam, MD

Individual provider Surgery Physician · NPI 1962627984

Marcene R. McVay Gillam, MD is a Surgery Physician in San Antonio, Texas. Works from 3 locations. Licensed in Arkansas, Oklahoma and Texas.

Licensed in
AR, OK, TX
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 358-4000
Fax: (210) 358-4775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3623 Johnson Mill Blvd Ste 101, Springdale, AR 72762-6412 — (479) 222-0190
  • 6151 S Yale Ave Ste 1305, Tulsa, OK 74136-1907 — (918) 494-9450

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence P3650 (TX)
Surgery Physician Taxonomy 208600000X · Licence P3650 (TX)
Surgery Physician Taxonomy 208600000X · Licence E-4933 (AR)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 42264 (OK)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence E-4933 (AR)

Record details

NPI number1962627984
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

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