Provider Demographics
NPI:1689985962
Name:GALLARDO, JOSHUAE GERMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUAE
Middle Name:GERMAN
Last Name:GALLARDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10905 MEMORIAL HERMANN DR STE 111
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3490
Mailing Address - Country:US
Mailing Address - Phone:281-929-4727
Mailing Address - Fax:281-929-4728
Practice Address - Street 1:10905 MEMORIAL HERMANN DR STE 111
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3490
Practice Address - Country:US
Practice Address - Phone:281-929-4727
Practice Address - Fax:281-929-4728
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125058133207R00000X
TXR74552084E0001X, 2084N0400X
IL0361343232084N0400X
CAC1660622084N0400X
IL361343232084N0400X
OK358372084N0400X
FLME1205552084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsy