University Of Texas Medical Branch

LBN: University Of Texas Medical Branch At Galveston
University Of Texas Medical Branch is an health care organization with primary practice located at 301 University Blvd Rt 1076, Galveston TX 77555-1388. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. University Of Texas Medical Branch At Galveston can be contacted via phone (409) 747-6520, or through Mouton, Charles P via phone (409) 772-1902.

Contact Information

Primary practice address
301 University Blvd Rt 1076 Galveston TX 77555-1388
Phone: (409) 747-6520
Fax: (409) 747-0164
Website:
Map and Directions
Authorized official contact:
Name: Mouton, Charles P Doctor of Medicine (MD)
Phone: (409) 772-1902

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1821054883
LBN Legal business name University Of Texas Medical Branch At Galveston
DBA Doing business as University Of Texas Medical Branch
Authorized official Mouton, Charles P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 6th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821054883 NPPES
Texas MEDICAID 085973802

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