MEDICARE: CLAUDIA GALLARDO FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	AP142442	TX
2	207Q00000X	Family Medicine Physician	142442	TX

General Provider Information

NPI Number	:	1134773286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA GALLARDO FNP

Provider Business Mailing Address
First Line	:	11125 LA QUINTA PL STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-5254
Country	:	US
Telephone Number	:	915-621-2522
Fax Number	:	866-538-1975

Provider Business Practice Location Address
First Line	:	11125 LA QUINTA PL STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-5254
Country	:	US
Telephone Number	:	915-621-2522
Fax Number	:	866-538-1975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2019
Last Update Date	:	11/16/2025

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