Individual
MR. ELIAS LOPEZ GALVAN JR.
Active
Individual
MR. ELIAS LOPEZ GALVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1148279
TX
2251G0304X
Geriatric Physical Therapist
1148279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870T83
BCBS
TX
Enumeration date
11/06/2006
Last updated
11/14/2019
Update your record
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