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NPI Code Detail

MEDICARE: DR. ALFRED GALAZ PHD

MEDICARE:  DR. ALFRED  GALAZ  PHD
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
1103TC0700XClinical Psychologist31008TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18F5902OTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
387430AOTHERTXBCBS

General Provider Information

NPI Number : 1477589182
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFRED GALAZ PHD
Provider Business Mailing Address
First Line : 705 SOUTH ADAMS AVENUE
Second Line :
City : MCGREGOR
State : TX
Zip : 76657-2352
Country : US
Telephone Number : 254-931-1410
Fax Number : 866-792-6239
Provider Business Practice Location Address
First Line : 705 SOUTH ADAMS AVENUE
Second Line :
City : MCGREGOR
State : TX
Zip : 76657-2352
Country : US
Telephone Number : 254-931-1410
Fax Number : 866-792-6239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 03/17/2010

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Directions to “ DR. ALFRED GALAZ PHD” Practice Location

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