Individual
MENNEN T GALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 S FRY RD, STE 102, KATY, TX 77450
(281) 646-1114
(281) 646-1138
Mailing address
777 S FRY RD, STE 102, KATY, TX 77450
(281) 646-1114
(281) 646-1138
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
K5105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085DY
BCBS
—
01
—
1300203
VHC
—
01
—
27688
AETNA
—
Enumeration date
08/14/2006
Last updated
07/08/2007
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