Provider Demographics
NPI:1316560923
Name:GALVAN, MAX IVAN (MD)
Entity type:Individual
Prefix:DR
First Name:MAX
Middle Name:IVAN
Last Name:GALVAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-8589
Mailing Address - Country:US
Mailing Address - Phone:214-456-4586
Mailing Address - Fax:214-648-1065
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0193
Practice Address - Country:US
Practice Address - Phone:409-772-0770
Practice Address - Fax:409-747-4010
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-19
Last Update Date:2023-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP100707882084P0800X
TXT36252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry