Steve Gillespie

 
 July 17, 2016 FROM- CWFMD 
 936-703-5455 
 T-252 P0017/0063 F-236 
 Printed: 11/09/20 13:33 
 3 
 PatientKeeper 
 By: Smalling, Ciara C 
 CTABD&RELVISIWIOCONT 
 PRICE ERICAN 
 Age: 49Y Gender: F DOB: 08/05/1971 MRN: BH00288051 Phone: 936-701-8024 
 Signed by: Roy Kumar, M.D. 
 CT ABD&PELVIS W/O CONT 
 ORDERED PROVIDER: Huval,Adam FNP 
 DATE OF EXAM October 05, 2023 
 FACITLIY: EMERGENCY ROOM SERVICES 
 STATUS: Signed 
 Exam 
 Procedure 
 021095113 CT/CT ABD&PELVIS W/O CONT 
 Signed: LSDR.RK5 February 10, 2017 5:43am 
 Page 2 of 2 
 Name: Steve Gillespie 
 DOB: April 19, 1985 
 Date:
