Provider Demographics
NPI:1083668818
Name:GALINDO, CONRADO G III (MD)
Entity Type:Individual
Prefix:
First Name:CONRADO
Middle Name:G
Last Name:GALINDO
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CENIZA
Other - Middle Name:HILLS RURAL
Other - Last Name:HEALTH CLINIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1300 N BEDELL AVE
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-7818
Mailing Address - Country:US
Mailing Address - Phone:830-775-0512
Mailing Address - Fax:830-775-1888
Practice Address - Street 1:1300 N BEDELL AVE
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-7818
Practice Address - Country:US
Practice Address - Phone:830-775-0512
Practice Address - Fax:830-775-1888
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0189208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137138708Medicaid
TXC15847Medicare UPIN
TX137138708Medicaid
TX82Z030Medicare PIN