Penny Gilliam

CRNA | Nurse Anesthetist | 33+ years Exp

6606 Lbj Fwy Ste 200, Dallas
  Texas, 75240
972-715-5000
Accepts Medicare Nurse Anesthetist in Dallas, Texas.
Penny Gilliam is a Dallas, Texas based nurse anesthetist with 33 years of experience as Anesthesia Administration. She completed she graduation in 1992. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Penny Gilliam is 746269 for Anesthesia Administration in Texas. Her current practice location is 6606 Lbj Fwy Ste 200, Dallas. Patients can reach her at 972-715-5000 or can fax her at 972-715-9976. Penny Gilliam is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1942314299.
Penny Gilliam is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.

Complete Profile:
Penny Gilliam speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Anesthesia Administration
Credentials: CRNA
Experience: 33+ years
Medical School Attended:Other
Graduation Year:1992
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:6606 Lbj Fwy Ste 200, Dallas,
Texas, 75240
Phone:972-715-5000
Fax:972-715-9976
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4082761184
Enrollment ID: I20090407000190
NPI Number: 1942314299
NPI Enumeration Date: 17 Aug, 2006
NPI Last Update On: 11 Jun, 2018

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Penny Gilliam are as mentioned below.
License NumberSpecializationStateStatus
746269Anesthesia Administration TexasPrimary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Penny Gilliam has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Endo Sedation Llc (4789845363)265
Other Medical Identifiers:
Other legacy medical identifiers associated with Penny Gilliam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
200877301MedicaidTexas
200877303MedicaidTexas
301352900MedicaidFlorida
200877302MedicaidTexas
P00786663OtherTexasRAILROAD
8008UUOtherTexasBLUE CROSS BLUE SHIELD
G1916OtherFloridaBLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 840853,
Dallas, Texas
Zip: 75284-0853
Phone Number: 972-233-1999
Fax Number: 972-233-3666
Patients can reach Penny Gilliam at 6606 Lbj Fwy Ste 200, Dallas, Texas or can call to book an appointment on 972-715-5000.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.