University of Texas Medical Branch at Galveston

NPI #1821054883 in Galveston, Texas

Provider Information

NPI Number
1821054883
Entity Type
Organization
Organization Name
University of Texas Medical Branch at Galveston
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 26, 2006
Last Updated
Sep 6, 2022

Practice Location

Address
301 UNIVERSITY BLVD
Address 2
RT 1076
State
Texas
ZIP Code
77555-1388
Phone
(409) 747-6520

Authorized Official

Name
DR. CHARLES P MOUTON, MD
Title
PRESIDENT AD INTERIM
Phone
(409) 772-1902

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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