Healthcare Provider Details

I. General information

NPI: 1477442333
Provider Name (Legal Business Name): JASLYN CHRISTINE GALVAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1723 ROUND ROCK CIR
SULPHUR SPRINGS TX
75482-4739
US

IV. Provider business mailing address

1431 GREENWAY DR STE 500
IRVING TX
75038-2444
US

V. Phone/Fax

Practice location:
  • Phone: 903-439-7434
  • Fax:
Mailing address:
  • Phone: 877-688-2520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number218798
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: