Individual provider Active NPI

Magan Lizette Galvan

  • Speech-Language Assistant
  • Brownsville, TX
National Provider Identifier
1720567746
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
40122 Issued in TX
Practice address
4430 E 14TH St Unit E
Brownsville, TX 78521-3364
Phone
(956) 542-6296
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 40122 TX Primary

Addresses

Primary practice location

4430 E 14TH St Unit E
Brownsville, TX 78521-3364

Mailing address

5222 Skyline LN
Brownsville, TX 78526-3826
Phone (956) 545-5134

Other practice location 1

2715 Cornerstone Blvd
Edinburg, TX 78539-8464
Phone (956) 627-2717

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40122TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Trucare Health Services LLC Past Accepting new patients
PW Health Services, LLC 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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1720567746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 SKYLINE LN",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263826",
            "telephone_number": "956-545-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 E 14TH ST UNIT E",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213364",
            "telephone_number": "956-542-6296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2715 Cornerstone Blvd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785398464",
            "country_code": "US",
            "telephone_number": "956-627-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "MAGAN",
        "middle_name": "LIZETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "40122",
            "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 Aug 9, 2018; 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.