Individual
AJAY GAALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2104 PATTERSON DRIVE, VICTORIA, TX 77901
(361) 580-2200
(361) 580-2201
Mailing address
2104 PATTERSON DRIVE, VICTORIA, TX 77901
(361) 580-2200
(361) 580-2201
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J4134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113733305
—
TX
01
—
8DD946
BCBS
TX
Enumeration date
08/10/2006
Last updated
08/25/2022
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