Individual
MILDRED GALVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13808 RUSTLER PASS RANCH RD, ROANOKE, TX 76262-4564
(817) 941-0733
Mailing address
13808 RUSTLER PASS RANCH RD, ROANOKE, TX 76262-4564
(817) 941-0733
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
TX
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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