Provider Demographics
NPI:1255469250
Name:GALVAO NETO, ANTONIO L (MD)
Entity Type:Individual
Prefix:MR
First Name:ANTONIO
Middle Name:L
Last Name:GALVAO NETO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6431 FANNIN STREET
Mailing Address - Street 2:MSB 2.136
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-5301
Mailing Address - Fax:713-500-0695
Practice Address - Street 1:5656 KELLEY STREET
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77026-1967
Practice Address - Country:US
Practice Address - Phone:713-566-5261
Practice Address - Fax:713-599-5299
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.006135207ZP0101X
TX48060207ZP0101X
CODR.0061357207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology