Gallego Health

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

208256 Issued in LA

Legal business name

GALLEGO HEALTH

Practice address

115 Hallette Dr
Shreveport, LA 71115-2959

Phone

(318) 773-0657

Fax

(318) 688-1559

NPI assigned

Nov 30, 2017

Organization subpart

No

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

Authorized official

Name

Hector Gallego, MD

Title

President

Phone

(318) 773-0657

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gladys T Bush, HEALTH COACH CCMA

  • Prevention Professional
  • Shreveport, LA
  • NPI 1891326690
  NPD

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1992219836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19284",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711490284",
            "telephone_number": "318-773-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HALLETTE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152959",
            "telephone_number": "318-773-0657",
            "fax_number": "318-688-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLEGO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "GALLEGO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-773-0657",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "208256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "208256",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Gaines, SLP
• Steven Michael Galbraith, NP
• Brooklyn Galimore, LPN
• Kevin Gallagher, MD
• Patrick Timothy Gallagher Sr., M.D.
• William H Gallmann III, M.D.
• Jerome Keith Galloway
• Lynda J Galloway, LAC
• Gamble Hospice Care Northwest, LLC
• Rupal Gamble, PA-C

• Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.