Healthcare Provider Details

I. General information

NPI: 1427272277
Provider Name (Legal Business Name): HAROLDO ISAIAS GALDAMEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14019 SOUTHWEST FWY STE 301
SUGAR LAND TX
77478-3551
US

IV. Provider business mailing address

14019 SOUTHWEST FWY STE 301
SUGAR LAND TX
77478-3551
US

V. Phone/Fax

Practice location:
  • Phone: 281-343-0499
  • Fax:
Mailing address:
  • Phone: 281-343-0499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License NumberSA00252
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: