Individual provider Active NPI

Fernando Salvador Gallegos Garcia, MD

  • Family Medicine Physician
  • Odessa, TX
National Provider Identifier
1770736191
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N2079 Issued in TX
Practice address
900 E 4TH St
Odessa, TX 79761-5255
Phone
(432) 362-9933
NPI assigned
Oct 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N2079 TX Primary
Emergency Medicine Physician 207P00000X N2079 TX

Addresses

Primary practice location

900 E 4TH St
Odessa, TX 79761-5255

Mailing address

3710 Bridle CT
College Station, TX 77845-4591
Phone (956) 755-9779

Other identifiers 1

IdentifierTypeStateIssuer
1770736191OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000233 TX Practitioner - Family PracticePractitioner - Emergency Medicine 9032276639 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brewster Emergency Medicine Associates PA Emergency Medicine CurrentSince Mar 23, 2015 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Sep 1, 2018 Accepting new patients
Hospital Care Consultants, Inc Emergency Medicine CurrentSince May 23, 2019 Accepting new patients
Aggieland Urgent Care PLLC CurrentSince Jan 10, 2024 Accepting new patients
Seminole Hospital District of Gaines County Texas Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Hospital Care Consultants of Corpus Christi Emergency Medicine CurrentSince Mar 28, 2019 Accepting new patients
Ess of South Texas LLC Emergency Medicine CurrentSince Sep 25, 2018 Accepting new patients
Mitchell County Hospital District Past Accepting new patients
Mitchell County Hospital District Past Accepting new patients
Texas a&M University System Health Science Center Past Accepting new patients
Mitchell County Hospital District Past Accepting new patients
Medical Center Emergency Physicians PA Emergency Medicine Past Accepting new patients
Mitchell County Hospital District Past Accepting new patients
Sweetwater Family Medical Associates Family Medicine Past Accepting new patients
Mitchell County Hospital Past Accepting new patients
Mitchell County Hospital Distict Past Accepting new patients
Mitchell County Hospital District Past Accepting new patients
Texas a&M University System Health Science Center Family Medicine PastSince Sep 27, 2020 Accepting new patients
Mitchell County Hospital Distict Past Accepting new patients
Mitchell County Hospital District Past Accepting new patients

Locations

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

13055 FM 2154 Rd
College Station, TX 77845
Phone (979) 229-5474

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/mitchco-ec738402

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1770736191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 BRIDLE CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454591",
            "telephone_number": "956-755-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 4TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615255",
            "telephone_number": "432-362-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS GARCIA",
        "first_name": "FERNANDO",
        "middle_name": "SALVADOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N2079",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N2079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770736191",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.