Utmb at Galveston

NPI #1407272024 in Dayton, Texas

Provider Information

NPI Number
1407272024
Entity Type
Organization
Organization Name
Utmb at Galveston
Primary Specialty
Health Maintenance Organization
Enumeration Date
Mar 6, 2014
Last Updated
Mar 6, 2014

Practice Location

Address
902 FM 686
City
Dayton
State
Texas
ZIP Code
77535-2299
Phone
(936) 258-8013

Authorized Official

Name
MR. MARK RICHARDS, PA
Title
PHYSICIAN ASSISTANT
Phone
(936) 258-8013

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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