Provider Demographics
NPI:1013801919
Name:GALENO CLINICAL INC
Entity type:Organization
Organization Name:GALENO CLINICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ PORTO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:281-662-3197
Mailing Address - Street 1:7171 HIGHWAY 6 N STE 205
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2422
Mailing Address - Country:US
Mailing Address - Phone:281-662-3197
Mailing Address - Fax:
Practice Address - Street 1:7171 HIGHWAY 6 N STE 205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2422
Practice Address - Country:US
Practice Address - Phone:281-662-3197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty