Provider Demographics
NPI:1265631360
Name:VILSAINT, MY CHARLLINS (MD)
Entity Type:Individual
Prefix:DR
First Name:MY CHARLLINS
Middle Name:
Last Name:VILSAINT
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:UTHSCSA
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:917-859-0175
Mailing Address - Fax:210-949-3006
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:DEPT OF MEDICINE/PULMONARY DISEASES MC 7885
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:917-859-0175
Practice Address - Fax:210-949-3006
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ0381207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX342362601Medicaid
TX342362601Medicaid