MEDICARE: EVA GALVAN

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	3747P1801X	Personal Care Attendant		TX
2	376K00000X	Nurse's Aide	NA0010386522	TX

General Provider Information

NPI Number	:	1790217941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVA GALVAN

Provider Business Mailing Address
First Line	:	1429 MONTANA ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78203-1927
Country	:	US
Telephone Number	:	210-954-4831
Fax Number	:

Provider Business Practice Location Address
First Line	:	1429 MONTANA ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78203-1927
Country	:	US
Telephone Number	:	210-954-4831
Fax Number	:

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

Provider Enumeration Date	:	03/28/2017
Last Update Date	:	03/28/2017

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Directions to “ EVA GALVAN ” Practice Location

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