Provider Demographics
NPI:1205085974
Name:GALVIN, CHRISTIAN
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:GALVIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1238
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-1238
Mailing Address - Country:US
Mailing Address - Phone:979-559-2961
Mailing Address - Fax:979-202-1038
Practice Address - Street 1:222 W BURLESON ST
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-5406
Practice Address - Country:US
Practice Address - Phone:979-559-2961
Practice Address - Fax:979-202-1038
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000287OtherLISCENSE