Provider Demographics
NPI:1851866578
Name:GALAN, TERRY STED
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:STED
Last Name:GALAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 BAY AREA BLVD APT 3923
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-1147
Mailing Address - Country:US
Mailing Address - Phone:631-637-4495
Mailing Address - Fax:
Practice Address - Street 1:4300 BAY AREA BLVD APT 3923
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-1147
Practice Address - Country:US
Practice Address - Phone:631-637-4495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX950580163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health