Basic Information
| Provider Information | |||||||||
| NPI: | 1467419838 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GALBREATH | ||||||||
| FirstName: | AUTUMN | ||||||||
| MiddleName: | DAWN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7711 LOUIS PASTEUR DR | ||||||||
| Address2: | 707 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782293415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2105758500 | ||||||||
| FaxNumber: | 2105758506 | ||||||||
| Practice Location | |||||||||
| Address1: | 8201 EWING HALSELL DR | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782293743 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2105758500 | ||||||||
| FaxNumber: | 2105758506 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2006 | ||||||||
| LastUpdateDate: | 09/06/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | K2695 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.