Provider Demographics
NPI:1457605388
Name:TESTERONE CENTERS OF TEXAS, PLLC
Entity type:Organization
Organization Name:TESTERONE CENTERS OF TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GALINDO
Authorized Official - Suffix:JR
Authorized Official - Credentials:PA-C
Authorized Official - Phone:214-244-4154
Mailing Address - Street 1:1525 US HWY 380
Mailing Address - Street 2:SUITE 500, #381
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033
Mailing Address - Country:US
Mailing Address - Phone:214-244-4154
Mailing Address - Fax:469-716-4950
Practice Address - Street 1:2403 S STEMMONS FWY
Practice Address - Street 2:SUITE # 105
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8976
Practice Address - Country:US
Practice Address - Phone:972-829-6206
Practice Address - Fax:972-474-8552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty