MEDICARE: ALBERT GALLEGOS JR.

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	224Z00000X	Occupational Therapy Assistant	217387	TX

General Provider Information

NPI Number	:	1083578231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT GALLEGOS JR.

Provider Business Mailing Address
First Line	:	15919 SHELDON RIDGE WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6040
Country	:	US
Telephone Number	:	832-322-1374
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 SOUTHWEST FWY STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4520
Country	:	US
Telephone Number	:	346-702-5482
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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