Individual provider · Type 1 NPI

Dirck Anthony Gillam

Student in an Organized Health Care Education/Training Program · Fort Hood, TX

NPI number 1730477449 Active

Practice location

36065 Santa Fe Ave
Fort Hood, TX 76544-5060

Call (254) 287-7388 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X045476 (LA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730477449

Dirck Anthony Gillam's National Provider Identifier is 1730477449, issued on Jul 14, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Hood, TX. The record was last updated on Jun 8, 2026.