Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 8571 | TX |
N | 111NI0013X | Independent Medical Examiner | 8571 | TX |
NPI | 1205014602 |
---|---|
Provider Name | Ryan Alexis Galvez |
First Address | Houston, TX 77057-5847 |
Second Address | Houston, TX 77057-5847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2008 |
Last Update Date | 07/02/2008 |