MEDICARE: MARCELA LETICIA ORELLANA GALVEZ DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	EL6907	CA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	3157	TX

General Provider Information

NPI Number	:	1184285090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCELA LETICIA ORELLANA GALVEZ DPM

Provider Business Mailing Address
First Line	:	8135 FOREST LN # 515057
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2472
Country	:	US
Telephone Number	:	469-850-5760
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 SOLDIERS FIELD DR STE 100
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4323
Country	:	US
Telephone Number	:	866-552-4866
Fax Number	:

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

Provider Enumeration Date	:	06/23/2019
Last Update Date	:	01/07/2026

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