Healthcare Provider Details

I. General information

NPI: 1689985962
Provider Name (Legal Business Name): JOSHUAE GERMAN GALLARDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10905 MEMORIAL HERMANN DR STE 111
PEARLAND TX
77584-3490
US

IV. Provider business mailing address

10905 MEMORIAL HERMANN DR STE 111
PEARLAND TX
77584-3490
US

V. Phone/Fax

Practice location:
  • Phone: 281-929-4727
  • Fax: 281-929-4728
Mailing address:
  • Phone: 281-929-4727
  • Fax: 281-929-4728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberR7455
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberC166062
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036134323
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberR7455
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number36134323
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35837
License Number StateOK
# 7
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME120555
License Number StateFL
# 8
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number036134323
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: