Basic Information
Provider Information
NPI: 1346795523
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALVEZ
FirstName: LINH
MiddleName: NGOC
NamePrefix:  
NameSuffix:  
Credential: DDS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10734 WOLSLEY CT
Address2:  
City: HOUSTON
State: TX
PostalCode: 770655058
CountryCode: US
TelephoneNumber: 2149982602
FaxNumber:  
Practice Location
Address1: 17814 SPRING CYPRESS RD
Address2: STE 101
City: CYPRESS
State: TX
PostalCode: 774296289
CountryCode: US
TelephoneNumber: 2813041319
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/17/2016
LastUpdateDate: 03/10/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X32230TXY Dental ProvidersDentist 

No ID Information.


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