Provider Demographics
NPI:1609800663
Name:GALAN, ANTHONY R (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:R
Last Name:GALAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:512 VICTORIA LN STE 2
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3227
Mailing Address - Country:US
Mailing Address - Phone:956-365-4400
Mailing Address - Fax:956-365-4111
Practice Address - Street 1:6801 MCPHERSON RD
Practice Address - Street 2:SUITE 330
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6402
Practice Address - Country:US
Practice Address - Phone:956-724-9219
Practice Address - Fax:956-348-8394
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK9064207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1S6456OtherPTAN
TX031208403Medicaid
TX0312084-04Medicaid
TX0312084-05Medicaid
TX8U9090OtherBC/BS PROVIDER NUMBER