| Galaxy Medical Services,llc | |
|
3611 Branch Ave Ste 309 Temple Hills MD 20748-1242 | |
| (301) 909-0123 | |
| (301) 909-0050 |
| Full Name | Galaxy Medical Services,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3611 Branch Ave Ste 309, Temple Hills, Maryland |
| Authorized Official Name and Position | Eunice Okoro (OWNER) |
| Authorized Official Contact | 2404139291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galaxy Medical Services,llc 3611 Branch Ave Ste 309 Temple Hills MD 20748-1242 Ph: (301) 909-0123 | Galaxy Medical Services,llc 3611 Branch Ave Ste 309 Temple Hills MD 20748-1242 Ph: (301) 909-0123 |
| NPI Number | 1497181812 |
|---|---|
| Provider Enumeration Date | 09/17/2013 |
| Last Update Date | 03/12/2015 |
| Medicare PECOS PAC ID | 1052543386 |
|---|---|
| Medicare Enrollment ID | O20140421000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497181812 | NPI | - | NPPES |
| 061222700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R132487 (Maryland) | Primary |
| 261QP2300X | Clinic/center - Primary Care | R132487 (Maryland) | Secondary |
| Provider Name | Eunice A Okoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346267770 PECOS PAC ID: 3476592767 Enrollment ID: I20050426001393 |
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