Provider Demographics
NPI:1558483552
Name:HOWARD, GALEN EVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GALEN
Middle Name:EVAN
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3537 S INTERSTATE 35 E STE 315
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6870
Mailing Address - Country:US
Mailing Address - Phone:940-365-0706
Mailing Address - Fax:940-536-0710
Practice Address - Street 1:3537 S INTERSTATE 35 E STE 315
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6870
Practice Address - Country:US
Practice Address - Phone:940-365-0706
Practice Address - Fax:940-536-0710
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5764208800000X, 2088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM5764OtherMD LICENSE
TXG0150984OtherDPS