Healthcare Provider Details

I. General information

NPI: 1366008625
Provider Name (Legal Business Name): MANUEL ANGEL GARCIA GALDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 N SHEPHERD DR
HOUSTON TX
77008-6526
US

IV. Provider business mailing address

1133 JOHN FREEMAN BLVD STE JJLS80
HOUSTON TX
77030-2809
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-8550
  • Fax: 713-486-7201
Mailing address:
  • Phone: 713-500-6714
  • Fax: 239-343-5348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME152896
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberU5962
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: