Individual provider · Type 1 NPI
W. Brent Gillespie, D.P.M.
Foot Surgery Podiatrist · San Antonio, TX
NPI number
1144331083
Active
Practice location
19222 Stonehue Ste 104
San Antonio, TX 78258-3454
Fax (210) 490-6419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 1084 (TX) |
| Sports Medicine Podiatrist | 213ES0000X | 1084 (TX) |
| Foot Surgery Podiatrist Primary | 213ES0131X | 1084 (TX) |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1144331083
W. Brent Gillespie, D.P.M.'s National Provider Identifier is 1144331083, issued on Aug 31, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in San Antonio, TX. The record was last updated on Jan 7, 2010.