Individual
MARTHA M GALLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4171 N MESA ST STE 100, EL PASO, TX 79902-1444
(915) 267-2020
(915) 595-4460
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(915) 267-2020
(915) 595-4460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2262TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316150592
GROUP NPI
TX
01
—
4187210001
DME
—
01
—
80267E
BCBS
TX
Enumeration date
08/29/2006
Last updated
01/11/2023
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