University of Texas Medical Branch at Galveston

NPI #1629465950 in Willis, Texas

Provider Information

NPI Number: 1629465950
Entity Type: Organization
Organization Name: University of Texas Medical Branch at Galveston
Primary Specialty: Point of Service
Enumeration Date: Apr 24, 2015
Last Updated: Apr 24, 2015

Practice Location

Address: 11437 OUTPOST COVE
City: Willis
State: Texas
ZIP Code: 77318-5485
Phone: (936) 890-3287

Authorized Official

Name: DR. BOBBY VINCENT, MD
Title: REGIONAL MEDICAL DIRECTOR
Phone: (936) 295-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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