Individual provider Active NPI

Juan Galvan, P.A.C.

  • Physician Assistant
  • Brownsville, TX
National Provider Identifier
1659604619
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06353 Issued in TX
Practice address
4770 N Expressway
Suite 204
Brownsville, TX 78526-4165
Phone
(956) 350-8380
Fax
(956) 350-8371
NPI assigned
Sep 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06353 TX Primary

Addresses

Primary practice location

4770 N Expressway
Suite 204
Brownsville, TX 78526-4165

Mailing address

4770 N Expressway
Suite 204
Brownsville, TX 78526-4165
Phone (956) 350-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA06353TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-1 Medical Services, PA Physician Assistant Past Accepting new patients
Dr TS Primary Care Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1659604619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY",
            "address_2": "SUITE 204",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264165",
            "telephone_number": "956-350-8380",
            "fax_number": "956-350-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY",
            "address_2": "SUITE 204",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264165",
            "telephone_number": "956-350-8380",
            "fax_number": "956-350-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "JUAN",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.