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Contact Information

GALVESTON DERMATOLOGY, P.A.
1501 BROADWAY AVE
GALVESTON, TX77550
 Phone: 409-763-2452
 Fax: 409-763-2458
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for GALVESTON DERMATOLOGY PA · (Female)

NPI # 1104091487
Status Active
Credentials
Entity Individual
Enumeration date 04/28/2008
Last updated 07/28/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # G4701
  • TX Medicaid 080178901
  • TX Other 00221K BCBS
  • TX Other 070012339 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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