Healthcare Provider Details

I. General information

NPI: 1497181812
Provider Name (Legal Business Name): GALAXY MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2013
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3611 BRANCH AVE STE 309
TEMPLE HILLS MD
20748-1242
US

IV. Provider business mailing address

3611 BRANCH AVE STE 309
TEMPLE HILLS MD
20748-1242
US

V. Phone/Fax

Practice location:
  • Phone: 301-909-0123
  • Fax: 301-909-0050
Mailing address:
  • Phone: 301-909-0123
  • Fax: 301-909-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberR132487
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberR132487
License Number StateMD

VIII. Authorized Official

Name: EUNICE ADAKU OKORO
Title or Position: OWNER
Credential: NP
Phone: 301-909-0123