Provider Demographics
NPI:1174570493
Name:ALBRITTON, GALEN CHRIS (DPM)
Entity type:Individual
Prefix:DR
First Name:GALEN
Middle Name:CHRIS
Last Name:ALBRITTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 S WILLIS ST
Mailing Address - Street 2:STE A
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-6287
Mailing Address - Country:US
Mailing Address - Phone:325-695-8990
Mailing Address - Fax:325-695-0901
Practice Address - Street 1:2501 S WILLIS ST
Practice Address - Street 2:STE A
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-6287
Practice Address - Country:US
Practice Address - Phone:325-695-8990
Practice Address - Fax:325-695-0901
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0675213E00000X, 213ES0131X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00917TOtherPTAN
TXT11901Medicare UPIN
4791770001Medicare NSC
TX8696B8Medicare PIN