Provider Demographics
NPI:1346612520
Name:GALVAN, RUBEN JR (FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:RUBEN
Middle Name:
Last Name:GALVAN
Suffix:JR
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14329 SAN PEDRO AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4389
Mailing Address - Country:US
Mailing Address - Phone:210-494-2744
Mailing Address - Fax:210-494-2866
Practice Address - Street 1:14329 SAN PEDRO AVE STE C
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4389
Practice Address - Country:US
Practice Address - Phone:210-494-2744
Practice Address - Fax:210-494-2866
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily