MEDICARE: CHRISTIAN GALVIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	1000287	TX

General Provider Information

NPI Number	:	1013230838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIAN GALVIN

Provider Business Mailing Address
First Line	:	6702 HARPERS DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5909
Country	:	US
Telephone Number	:	979-559-2961
Fax Number	:	979-532-0019

Provider Business Practice Location Address
First Line	:	6702 HARPERS DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5909
Country	:	US
Telephone Number	:	979-559-2961
Fax Number	:	979-532-0019

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHRISTIAN GALVIN
Credential	:
Telephone Number	:	979-559-2961

Provider Enumeration Date	:	03/08/2010
Last Update Date	:	03/08/2010

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