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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, P.A.

NPI Number 1104091487
LBN Legal business name GALVESTON DERMATOLOGY, P.A.
Authorized official RAMON SANCHEZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/28/2008
Last updated 07/28/2008 - About 18 years ago
Identifiers
TX License # G4701
TX Medicaid 080178901
TX Other 00221K BCBS
TX Other 070012339 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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