Doctor Name: | JUAN GALVAN |
NPI Number: | 1659604619 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.C. |
License Number: | |
Business Practice Address: | 100a E Alton Gloor Blvd Brownsville, TX - 785263375 |
Business Phone Number: | 9563507000 |
Business Fax Number: | 2147122444 |
Mailing Address: | 1717 Main St, Suite 5200 DALLAS |
State: | TX |
Postal Code: | 752014612 |
Phone Number: | 2147122000 |
Fax Number: | 2147122444 |
NPI Enumeration Date: | 09/09/2009 |
NPI Last Update Date: | 09/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |