Healthcare Provider Details

I. General information

NPI: 1841327459
Provider Name (Legal Business Name): FELIPE GALVAN PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16110 VIA SHAVANO
SAN ANTONIO TX
78249-2380
US

IV. Provider business mailing address

16110 VIA SHAVANO
SAN ANTONIO TX
78249-2380
US

V. Phone/Fax

Practice location:
  • Phone: 210-615-7171
  • Fax: 210-615-6793
Mailing address:
  • Phone: 210-615-7171
  • Fax: 210-615-6793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA09124
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: