Basic Information
Provider Information
NPI: 1649212648
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALINDO
FirstName: MAYO
MiddleName: J
NamePrefix: DR.
NameSuffix: JR.
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7703 FLOYD CURL DR
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782293901
CountryCode: US
TelephoneNumber: 2104509300
FaxNumber:  
Practice Location
Address1: 8300 FLOYD CURL DR
Address2: 3RD FLOOR
City: SAN ANTONIO
State: TX
PostalCode: 782293931
CountryCode: US
TelephoneNumber: 2104509300
FaxNumber: 2104506023
Other Information
ProviderEnumerationDate: 06/12/2006
LastUpdateDate: 04/01/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XF6643TXY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
09907980505TX MEDICAID
187634101TXCIGNAOTHER
20004233601TXRAILROAD MEDICAREOTHER
09907980605TX MEDICAID
8B839501TXBCBSOTHER
422606201TXAETNAOTHER


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