Healthcare Provider Details

I. General information

NPI: 1366469926
Provider Name (Legal Business Name): JAMES WALTER GALBRAITH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 04/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 FERRIS AVE
WAXAHACHIE TX
75165-2556
US

IV. Provider business mailing address

905 FERRIS AVE
WAXAHACHIE TX
75165-2556
US

V. Phone/Fax

Practice location:
  • Phone: 214-551-2521
  • Fax:
Mailing address:
  • Phone: 214-552-0682
  • Fax: 214-299-8579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE2567
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: