Provider Demographics
NPI:1285633099
Name:GALVAN, DAVID G (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:GALVAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16651 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2345
Mailing Address - Country:US
Mailing Address - Phone:713-774-5131
Mailing Address - Fax:713-774-4336
Practice Address - Street 1:16651 SOUTHWEST FWY
Practice Address - Street 2:SUITE 200
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2345
Practice Address - Country:US
Practice Address - Phone:713-774-5131
Practice Address - Fax:713-774-4336
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2569207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2870329-002OtherCIGNA
TX682795OtherAETNA
TX88W570OtherBC/BS
TX1227373-02Medicaid
TX160038134OtherMEDICARE RR-SW LOCATION
TX160038139OtherMEDICARE RR-SL LOCATION
TX160038134OtherMEDICARE RR-SW LOCATION
TX1227373-02Medicaid