Doctor Name: | MR. HERVEY GALVAN |
NPI Number: | 1629333786 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPAS, PA-C |
License Number: | PA04302 |
Business Practice Address: | 200 W.edinburg Hwy 107 Elsa, TX - 785430000 |
Business Phone Number: | 9562629804 |
Business Fax Number: | 9562629233 |
Mailing Address: | 200 W Edinburg Hwy 107, ELSA |
State: | TX |
Postal Code: | 78543 |
Phone Number: | 9562629804 |
Fax Number: | 9562629233 |
NPI Enumeration Date: | 07/05/2012 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA04302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |