Provider Demographics
NPI:1578014080
Name:JAMES JOSEPH GALIZIA MD
Entity type:Organization
Organization Name:JAMES JOSEPH GALIZIA MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:GALIZIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-752-2322
Mailing Address - Street 1:10650 CULEBRA RD # 104-484
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4949
Mailing Address - Country:US
Mailing Address - Phone:830-752-2322
Mailing Address - Fax:210-892-0912
Practice Address - Street 1:1995 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-5034
Practice Address - Country:US
Practice Address - Phone:830-752-2322
Practice Address - Fax:210-892-0912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3196207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD72124Medicare UPIN