Provider Demographics
NPI:1417148883
Name:GALLOWAY, JEAN N (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:N
Last Name:GALLOWAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10206 BALMFORTH LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5304
Mailing Address - Country:US
Mailing Address - Phone:713-728-5117
Mailing Address - Fax:713-728-5117
Practice Address - Street 1:4520 READING RD., SUITE A
Practice Address - Street 2:FORT BEND COUNTY CLINICAL HEALTH SERVICES
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471
Practice Address - Country:US
Practice Address - Phone:281-342-6414
Practice Address - Fax:281-342-7371
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2015-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4833208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice