MEDICARE: DR. GERALD J GALVIN D.C.

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	111N00000X	Chiropractor	13919	TX

General Provider Information

NPI Number	:	1669425161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD J GALVIN D.C.

Provider Business Mailing Address
First Line	:	3267 LOWER SEGUIN RD LOWR SEGUIN
Second Line	:
City	:	MARION
State	:	TX
Zip	:	78124-4008
Country	:	US
Telephone Number	:	210-658-6000
Fax Number	:	210-658-6843

Provider Business Practice Location Address
First Line	:	8014 KITTY HAWK
Second Line	:
City	:	CONVERSE
State	:	TX
Zip	:	78109-2424
Country	:	US
Telephone Number	:	210-658-6000
Fax Number	:	210-658-6843

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	04/21/2024

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