Provider Demographics
NPI:1689017006
Name:GALBRAITH, CHARLOTTE DENISE
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:DENISE
Last Name:GALBRAITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15003 CYPRESS WATERS DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4944
Mailing Address - Country:US
Mailing Address - Phone:713-249-5800
Mailing Address - Fax:713-456-2740
Practice Address - Street 1:15003 CYPRESS WATERS DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4944
Practice Address - Country:US
Practice Address - Phone:713-249-5800
Practice Address - Fax:713-456-2740
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator