Gallus Detox San Antonio, PLLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GALLUS DETOX SAN ANTONIO, PLLC

Practice address

8230 N Loop 1604 W Ste 215
San Antonio, TX 78249-2991

Phone

(726) 208-3560

Fax

(866) 565-8393

NPI assigned

Sep 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Georgina Carroll, RN

Title

Director of Clinical Operations

Phone

(928) 533-0872

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1376212639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 16TH AVE STE 1100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031615",
            "telephone_number": "207-501-2225",
            "fax_number": "866-565-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 N LOOP 1604 W STE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492991",
            "telephone_number": "726-208-3560",
            "fax_number": "866-565-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUS DETOX SAN ANTONIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "928-533-0872",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Martyn Gallo, P.A. -C
• Debra E Gallop, FNP
• Edlyne Marie Gallos, RN, PCCN
• Kimberly Galloway
• Samantha Nicol Galloway, LPC
• Maricar C Galunza, RN
• Alexandra Galvan
• Alicia Gregoria Galvan, DDS, FAAHD
• Alicia Z Galvan, RPH
• Alyssa Galvan

• Substance Abuse Rehabilitation Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.