Provider Demographics
NPI:1184882813
Name:GALLMAN, DOYLE FAIRCHILD JR (DO)
Entity type:Individual
Prefix:MR
First Name:DOYLE
Middle Name:FAIRCHILD
Last Name:GALLMAN
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2360 HIGHWAY 157 N
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7540
Mailing Address - Country:US
Mailing Address - Phone:817-453-2123
Mailing Address - Fax:817-453-2151
Practice Address - Street 1:2360 HIGHWAY 157 N
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7540
Practice Address - Country:US
Practice Address - Phone:817-453-2123
Practice Address - Fax:817-453-2151
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH2391207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine