Provider Demographics
NPI:1518252345
Name:GALINDO, NATE JR (RPA, RA)
Entity Type:Individual
Prefix:
First Name:NATE
Middle Name:
Last Name:GALINDO
Suffix:JR
Gender:M
Credentials:RPA, RA
Other - Prefix:
Other - First Name:NATIVIDAD
Other - Middle Name:
Other - Last Name:GALINDO
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6901 MARBLE CANYON DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7625
Mailing Address - Country:US
Mailing Address - Phone:915-253-2213
Mailing Address - Fax:
Practice Address - Street 1:6901 MARBLE CANYON DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-7625
Practice Address - Country:US
Practice Address - Phone:915-253-2213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY10 TX 1413363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant