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NPI Code Detail

MEDICARE: CHRISTINA M GALOS OD

MEDICARE: CHRISTINA M GALOS OD
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
1152W00000XOptometrist495NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316931769
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA M GALOS OD
Provider Business Mailing Address
First Line : 511A HWY 314 SW
Second Line :
City : LOS LUNAS
State : NM
Zip : 87031-9600
Country : US
Telephone Number : 505-565-3937
Fax Number : 505-565-3900
Provider Business Practice Location Address
First Line : 511A HWY 314 SW
Second Line :
City : LOS LUNAS
State : NM
Zip : 87031-9600
Country : US
Telephone Number : 505-565-3937
Fax Number : 505-565-3900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 11/09/2011

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Directions to “ CHRISTINA M GALOS OD” Practice Location

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