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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