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NPI Code Detail

MEDICARE: TIMOTHY B GALANG MD

MEDICARE: TIMOTHY B GALANG MD
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
12085R0001XRadiation Oncology Physician31887AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1588333ZVH9OTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3805848OTHERAZAHCCCS

General Provider Information

NPI Number : 1639132335
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY B GALANG MD
Provider Business Mailing Address
First Line : 1320 WEST 24TH STREET
Second Line :
City : YUMA
State : AZ
Zip : 85364
Country : US
Telephone Number : 928-314-2518
Fax Number : 928-317-1811
Provider Business Practice Location Address
First Line : 3640 HAMPTON DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-3016
Country : US
Telephone Number : 713-806-1855
Fax Number : 888-889-2522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 06/20/2018

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Directions to “ TIMOTHY B GALANG MD” Practice Location

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