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NPI Code Detail

MEDICARE: ANA LAURA GALAN

MEDICARE: ANA LAURA GALAN
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
1106S00000XBehavior TechnicianRBT-22-205199TX

General Provider Information

NPI Number : 1730836503
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA LAURA GALAN
Provider Business Mailing Address
First Line : 12018 ARBOR MESA
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-3916
Country : US
Telephone Number : 787-429-4624
Fax Number :
Provider Business Practice Location Address
First Line : 4143 GARDENDALE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3129
Country : US
Telephone Number : 210-319-9807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2022
Last Update Date : 03/03/2022

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Directions to “ ANA LAURA GALAN ” Practice Location

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