Individual
KEVIN M GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
205 W WINDCREST ST, STE 230 AUSTIN HEART, FREDERICKSBURG, TX 78624-4479
(830) 990-9994
(830) 990-9763
Mailing address
7800 SHOAL CREEK BLVD, SUITE 205N, AUSTIN, TX 78757-1098
(512) 206-4341
(512) 407-1947
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L6387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1593980-02
—
TX
Enumeration date
06/29/2006
Last updated
01/21/2022
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