Provider Demographics
NPI:1366469926
Name:GALBRAITH, JAMES WALTER (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:WALTER
Last Name:GALBRAITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 FERRIS AVE
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-2556
Mailing Address - Country:US
Mailing Address - Phone:214-552-0682
Mailing Address - Fax:214-299-8579
Practice Address - Street 1:905 FERRIS AVE
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-2556
Practice Address - Country:US
Practice Address - Phone:214-551-2521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2567207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1275414-05Medicaid
TX00PF93Medicare UPIN
TXC15845Medicare UPIN