Healthcare Provider Details

I. General information

NPI: 1174570493
Provider Name (Legal Business Name): GALEN CHRIS ALBRITTON D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 04/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 S WILLIS ST STE A
ABILENE TX
79605-6287
US

IV. Provider business mailing address

2501 S WILLIS ST STE A
ABILENE TX
79605-6287
US

V. Phone/Fax

Practice location:
  • Phone: 325-695-8990
  • Fax: 325-695-0901
Mailing address:
  • Phone: 325-695-8990
  • Fax: 325-695-0901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0675
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number0675
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0675
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: