Provider Demographics
NPI:1538867569
Name:GALVAN, EMILY J (FNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:GALVAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4358 LOCKHILL SELMA RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4167
Mailing Address - Country:US
Mailing Address - Phone:210-492-4300
Mailing Address - Fax:210-492-4380
Practice Address - Street 1:4358 LOCKHILL SELMA RD STE 110
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-4167
Practice Address - Country:US
Practice Address - Phone:210-492-4300
Practice Address - Fax:210-492-4380
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1110416207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1110416OtherLICENSE