Healthcare Provider Details

I. General information

NPI: 1184285090
Provider Name (Legal Business Name): MARCELA LETICIA ORELLANA GALVEZ DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARCELA ORELLANA

II. Dates (important events)

Enumeration Date: 06/23/2019
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 SOLDIERS FIELD DR STE 100
SUGAR LAND TX
77479-4323
US

IV. Provider business mailing address

8135 FOREST LN # 515057
DALLAS TX
75230-2472
US

V. Phone/Fax

Practice location:
  • Phone: 866-552-4866
  • Fax:
Mailing address:
  • Phone: 469-850-5760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number3157
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberEL6907
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: