Provider Demographics
NPI:1538450275
Name:ELUMIR, GALEN (PT)
Entity type:Individual
Prefix:MR
First Name:GALEN
Middle Name:
Last Name:ELUMIR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9903 AUTUMN LAKE TRL
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3054
Mailing Address - Country:US
Mailing Address - Phone:713-436-5834
Mailing Address - Fax:
Practice Address - Street 1:9903 AUTUMN LAKE TRL
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3054
Practice Address - Country:US
Practice Address - Phone:713-545-9002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1081040225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist