Provider Demographics
NPI:1376646521
Name:GALLOWAY, CAROLYN S (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:S
Last Name:GALLOWAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:13623 APPLE TREE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-7011
Mailing Address - Country:US
Mailing Address - Phone:713-973-0861
Mailing Address - Fax:713-583-4868
Practice Address - Street 1:13623 APPLE TREE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-7011
Practice Address - Country:US
Practice Address - Phone:713-973-0861
Practice Address - Fax:713-583-4868
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF8751207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00K30RMedicare ID - Type Unspecified