Provider Demographics
NPI:1841046273
Name:GALVAN, HECTOR ISMAEL (MD, LPC, LCDC, NCC)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:ISMAEL
Last Name:GALVAN
Suffix:
Gender:M
Credentials:MD, LPC, LCDC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 LA PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-7964
Mailing Address - Country:US
Mailing Address - Phone:956-204-6700
Mailing Address - Fax:
Practice Address - Street 1:2822 LA PLAZA DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-7964
Practice Address - Country:US
Practice Address - Phone:956-204-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78549101Y00000X
TX15293101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)