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Organization

GALVESTON DERMATOLOGY, P.A.

Active
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Organization

GALVESTON DERMATOLOGY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAMON L SANCHEZ M.D. (PRESIDENT)
(409) 763-2452
Entity
Organization

Contact information

Practice address
1501 BROADWAY AVE, GALVESTON, TX 77550
(409) 763-2452
(409) 763-2458
Mailing address
1501 BROADWAY, GALVESTON, TX 77550
(409) 763-2452
(409) 763-2458

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G4701
TX
207ND0900X
Dermatopathology Physician
G4701
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00221K
BCBS
TX
01
070012339
RAILROAD MEDICARE
TX
05
080178901
TX
Enumeration date
04/28/2008
Last updated
07/28/2008
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