Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist | 2021036 | TX |
NPI | 1386035061 |
---|---|
Provider Name | Cryatal Gallagher |
First Address | Midland, TX 79703-6226 |
Second Address | Midland, TX 79703-6226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2015 |
Last Update Date | 17/02/2015 |