Individual
FERNANDO SALVADOR GALLEGOS GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E 4TH ST, ODESSA, TX 79761-5255
(432) 362-9933
Mailing address
3710 BRIDLE CT, COLLEGE STATION, TX 77845-4591
(956) 755-9779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
N2079
TX
207Q00000X
Family Medicine Physician
Primary
N2079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770736191
NPI
TX
Enumeration date
10/29/2008
Last updated
03/04/2013
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