Mennen T Gallas, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

K5105 Issued in TX

Practice address

777 S Fry Rd
Ste 102
Katy, TX 77450

Phone

(281) 646-1114

Fax

(281) 646-1138

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mennen T. Gallas, MD PA

  dba Gallas Plastic Surgery & Vein Center

  • Plastic Surgery Physician
  • Katy, TX
  • NPI 1487945879
  Authorized official Same address or phone
• Provincial Park Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Katy, TX
  • NPI 1215204268
  Authorized official Same address or phone

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487667184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S FRY RD",
            "address_2": "STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-646-1114",
            "fax_number": "281-646-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S FRY RD",
            "address_2": "STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-646-1114",
            "fax_number": "281-646-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAS",
        "first_name": "MENNEN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K5105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VHC",
            "identifier": "1300203",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "27688",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0085DY",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Galatia LLC (Galatia Care LLC)
• Madina Galiatano
• Madison Gallagher
• Daniela Gallardo Aguilar
• Nicole Gallardo
• Rosario Delaluz Gallegos
• Galleria Pain Physicians PLLC
• Meghan Kathleen Galliger
• Amy Michelle Galpin, LPC-S
• Galveston Hospice Care LLC

• Plastic Surgery Physician in Katy, TX
• Providers in Katy, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.