Provider Demographics
NPI:1588487920
Name:GALVAN, MARK DANIEL (PA)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:DANIEL
Last Name:GALVAN
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Gender:M
Credentials:PA
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Mailing Address - Street 1:2961 MOSSROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5119
Mailing Address - Country:US
Mailing Address - Phone:210-731-4800
Mailing Address - Fax:210-731-4810
Practice Address - Street 1:615 NW LOOP 410 STE 210
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5520
Practice Address - Country:US
Practice Address - Phone:210-384-8282
Practice Address - Fax:210-384-8629
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2025-08-27
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Provider Licenses
StateLicense IDTaxonomies
TXPA18772363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant