Provider Demographics
NPI:1013230838
Name:CHRISTIAN GALVIN
Entity Type:Organization
Organization Name:CHRISTIAN GALVIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-559-2961
Mailing Address - Street 1:6702 HARPERS DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5909
Mailing Address - Country:US
Mailing Address - Phone:979-559-2961
Mailing Address - Fax:979-532-0019
Practice Address - Street 1:6702 HARPERS DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5909
Practice Address - Country:US
Practice Address - Phone:979-559-2961
Practice Address - Fax:979-532-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000287341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN
TXAMB872Medicare PIN