Provider Demographics
NPI:1174661599
Name:GALINDO, JUAN AUGUSTINE JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JUAN
Middle Name:AUGUSTINE
Last Name:GALINDO
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:AUGIE
Other - Middle Name:
Other - Last Name:GALINDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:6909 SONOMA
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-3071
Mailing Address - Country:US
Mailing Address - Phone:972-830-9893
Mailing Address - Fax:214-614-5129
Practice Address - Street 1:6909 SONOMA
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-3071
Practice Address - Country:US
Practice Address - Phone:972-830-9893
Practice Address - Fax:214-614-5129
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04648363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant