MEDICARE: LUIS FERNANDO GALINDO PA

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	363A00000X	Physician Assistant	10310	AZ

General Provider Information

NPI Number	:	1326744475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS FERNANDO GALINDO PA

Provider Business Mailing Address
First Line	:	211 E 7TH ST STE 700
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-3218
Country	:	US
Telephone Number	:	888-478-8432
Fax Number	:

Provider Business Practice Location Address
First Line	:	3144 E THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-8016
Country	:	US
Telephone Number	:	888-478-8432
Fax Number	:	623-428-2157

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

Provider Enumeration Date	:	01/31/2023
Last Update Date	:	06/08/2026

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