Provider Demographics
NPI:1386239671
Name:GALVAN, KATALINA (OD)
Entity type:Individual
Prefix:DR
First Name:KATALINA
Middle Name:
Last Name:GALVAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14402 W BELLFORT ST APT 326
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-1805
Mailing Address - Country:US
Mailing Address - Phone:713-584-5869
Mailing Address - Fax:
Practice Address - Street 1:10961 NORTH FWY STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037-1139
Practice Address - Country:US
Practice Address - Phone:281-445-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10180TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty