Healthcare Provider Details

I. General information

NPI: 1023238011
Provider Name (Legal Business Name): ERIK J GALIAN D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 11/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 SOUTH MOPAC EXPRESSWAY BUILDING 5, SUITE 220
AUSTIN TX
78746
US

IV. Provider business mailing address

901 SOUTH MOPAC EXPRESSWAY BUILDING 5, SUITE 220
AUSTIN TX
78746
US

V. Phone/Fax

Practice location:
  • Phone: 512-327-0461
  • Fax: 512-327-0916
Mailing address:
  • Phone: 512-327-0461
  • Fax: 512-327-0916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number19541
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: