Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | TEMPORARY 40779 | TX |
NPI | 1184732182 |
---|---|
Provider Name | James J. Gallagher |
First Address | Galveston, TX 77550-2725 |
Second Address | Galveston, TX 77550-2725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 19/12/2011 |