Mennen T. Gallas, MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

K5105 Issued in TX

Legal business name

MENNEN T. GALLAS, MD PA

Practice address

21300 Provincial Blvd
Katy, TX 77450-7580

Phone

(281) 646-1114

Fax

(281) 646-1138

NPI assigned

Apr 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mennen Theodore Gallas, M.D.

Title

Owner

Phone

(281) 646-1114

Specialties & licenses 1

Addresses

Other names 1

• Gallas Plastic Surgery & Vein Center Doing business as

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1487945879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "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": "21300 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-646-1114",
            "fax_number": "281-646-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNEN T. GALLAS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "GALLAS",
        "authorized_official_first_name": "MENNEN",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-646-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K5105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gallas Plastic Surgery & Vein Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivette Ariana Mendoza, FNP-C
• Yoskua Mendoza
• Yohandra Menendez Crespo
• Serena Han Meng, DO
• Samrawit Sisay Mengiste, PTA
• Mens African Investors
• Dasha Mensik, FNP
• Mental Health Counseling PLLC
• Mentia Health and Wellness LLC
• Mentis Neuro Houston, 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 Apr 20, 2011; 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.