Individual
GALEN GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-0439
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
TX
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0101258238
VA
Other
Enumeration date
03/21/2023
Last updated
03/10/2025
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