Healthcare Provider Details

I. General information

NPI: 1356521728
Provider Name (Legal Business Name): LINDA J GALVAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6545 SOUTHWEST FWY
HOUSTON TX
77074-2207
US

IV. Provider business mailing address

5080 SPECTRUM DR STE. 1200 WEST TOWER
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 281-300-0831
  • Fax:
Mailing address:
  • Phone: 800-323-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberJ3310
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: