Provider Demographics
NPI:1699796680
Name:GALT, SHERYL D (MD)
Entity type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:D
Last Name:GALT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:218 QUINLAN ST # 571
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5314
Mailing Address - Country:US
Mailing Address - Phone:830-258-7067
Mailing Address - Fax:830-258-7268
Practice Address - Street 1:710 WATER ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5329
Practice Address - Country:US
Practice Address - Phone:830-258-7067
Practice Address - Fax:830-258-7268
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3733208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155745601Medicaid
G52365Medicare UPIN
TX8137B0Medicare ID - Type Unspecified