● Active Type 1 · Individual

Marcene R. McVay Gillam, MD

Surgery·San Antonio, TX· NPI 1962627984 · Enumerated 2007 · 19 years on NPI

McVay Gillam is 1 of 22 surgery providers in San Antonio and 1 of 138 in Texas.

NPI age

19 years

Enumerated 2007-04-16

Primary specialty

Surgery

Plus 4 subspecialties

Licensed in

TX, AR, OK

3 states

Status

Active

No deactivations on record

Last NPPES update

2024-10-18

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 138 active surgery providers in Texas.

NPI age

19 years

≈ at median (18 yr)

State licenses

3 states

Top 62% — 37% of peers are multi-state

Subspecialties

In the 58% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES

2007 2026

Where they practice

Practice location

4502 Medical Dr

San Antonio, TX 782294402

📞 2103584000fax 2103584775

Mailing address

Po Box 6908

Springdale, AR 727666908

📞 5013493182

Additional practice locations

2 secondary locations on file with NPPES.

Location 2

6151 S Yale Ave Ste 1305

Tulsa, OK 741361907

📞 9184949450fax 9184949437

Location 3

3623 Johnson Mill Blvd Ste 101

Springdale, AR 727626412

📞 4792220190fax 8007301097

Specialties

Allopathic & Osteopathic Physicians › Surgery

Surgery Primary

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

TX license #P3650OK license #42264AR license #E-4933 taxonomy 2086S0120X
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...

TX license #P3650AR license #E-4933 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 1646 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.