Utmb Eci Launch

NPI #1174798789 in Galveston, Texas

Provider Information

NPI Number: 1174798789
Entity Type: Organization
Organization Name: Utmb Eci Launch
Subpart: Yes (part of a larger organization)
Parent Organization: UTMB FACULTY GROUP PRACTICE
Primary Specialty: Audiologist
Enumeration Date: Apr 24, 2008
Last Updated: Apr 24, 2008

Practice Location

Address: 301 UNIVERSITY BLVD
Address 2: RT 1022
City: Galveston
State: Texas
ZIP Code: 77555-5302
Phone: (409) 772-2222

Authorized Official

Name: CYNTHIA L SMITH
Title: ASSOCIATE DIRECTOR
Phone: (409) 772-7710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Audiologist	231H00000X	Primary

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