Provider Demographics
NPI:1336298751
Name:SHERYL D GALT MD PA
Entity Type:Organization
Organization Name:SHERYL D GALT MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:D
Authorized Official - Last Name:GALT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-921-6593
Mailing Address - Street 1:218 QUINLAN ST # 571
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5314
Mailing Address - Country:US
Mailing Address - Phone:830-258-7067
Mailing Address - Fax:830-792-6403
Practice Address - Street 1:710 WATER ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5329
Practice Address - Country:US
Practice Address - Phone:830-258-7067
Practice Address - Fax:830-792-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00054TMedicare ID - Type Unspecified