MEDICARE: DR. GALEN EVAN HOWARD M.D.

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	208800000X	Urology Physician	M5764	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M5764	OTHER	TX	MD LICENSE
2	G0150984	OTHER	TX	DPS

General Provider Information

NPI Number	:	1558483552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GALEN EVAN HOWARD M.D.

Provider Business Mailing Address
First Line	:	3537 S INTERSTATE 35 E STE 315
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-6870
Country	:	US
Telephone Number	:	940-365-0706
Fax Number	:	940-536-0710

Provider Business Practice Location Address
First Line	:	3537 S INTERSTATE 35 E STE 315
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-6870
Country	:	US
Telephone Number	:	940-365-0706
Fax Number	:	940-536-0710

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	09/16/2021

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