Individual
MARK JOSEPH GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
959 SUNLAND PARK DR STE 100, EL PASO, TX 79922-1323
(915) 542-0279
(915) 542-0156
Mailing address
959 SUNLAND PARK DR STE 100, EL PASO, TX 79922-1323
(915) 542-0279
(915) 542-0156
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M1100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J0140316
DPS NUMBER
TX
Enumeration date
07/05/2006
Last updated
11/21/2024
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