Provider Demographics
NPI:1841752334
Name:GALVIS, KELLY (MD)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:GALVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:
Other - Last Name:BARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4747 BELLAIRE BLVD STE 275
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4517
Mailing Address - Country:US
Mailing Address - Phone:713-795-0770
Mailing Address - Fax:713-795-0855
Practice Address - Street 1:4747 BELLAIRE BLVD STE 275
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4517
Practice Address - Country:US
Practice Address - Phone:713-795-0770
Practice Address - Fax:713-795-0855
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV2736207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism