Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 0675 | TX |
Y | 222Z00000X | Podiatrist | 0675 | TX |
N | 213ES0103X | Foot & Ankle Surgery | 0675 | TX |
N | 213ES0131X | Foot Surgery | 0675 | TX |
NPI | 1174570493 |
---|---|
Provider Name | Dr. Galen Chris Albritton |
First Address | Abilene, TX 79605-6287 |
Second Address | Abilene, TX 79605-6287 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 18/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00917T | PTAN (01) | TX |
T11901 | (02) | TX |