Provider Demographics
NPI:1568518579
Name:GILFILLAN, SAUNDRA K (DO)
Entity Type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:K
Last Name:GILFILLAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4910 AIRPORT AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-5759
Mailing Address - Country:US
Mailing Address - Phone:281-239-1335
Mailing Address - Fax:281-232-4312
Practice Address - Street 1:4910 AIRPORT AVE
Practice Address - Street 2:SUITE D
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-5759
Practice Address - Country:US
Practice Address - Phone:281-239-1335
Practice Address - Fax:281-232-4312
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH62382084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L3995Medicare PIN