Provider Demographics
NPI:1063615623
Name:GALEN E HOWARD MD PA
Entity type:Organization
Organization Name:GALEN E HOWARD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GALEN
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-458-8937
Mailing Address - Street 1:3204 COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6862
Mailing Address - Country:US
Mailing Address - Phone:940-566-0746
Mailing Address - Fax:940-565-9275
Practice Address - Street 1:3204 COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6862
Practice Address - Country:US
Practice Address - Phone:940-566-0746
Practice Address - Fax:940-565-9275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5764208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXGO150984OtherDPS REGISTRATION NUMBER
TXGO150984OtherDPS REGISTRATION NUMBER