DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ISLAND HEALTH CENTER, P.A.

MEDICARE: ISLAND HEALTH CENTER, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QX0100XOccupational Medicine Clinic/CenterK6521TX
2111NR0400XRehabilitation ChiropractorDC4392TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC4392OTHERTXLICENSE
28H8092OTHERTXBLUE CROSS BLUESHIELD
31629102231OTHERTXNPI 1
48H8091OTHERTXBLUE CROSS BLUE SHIELD
5K6521OTHERTXLICENSE

General Provider Information

NPI Number : 1932328986
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISLAND HEALTH CENTER, P.A.
Provider Business Mailing Address
First Line : 4623 FORT CROCKETT BLVD
Second Line :
City : GALVESTON
State : TX
Zip : 77551-5962
Country : US
Telephone Number : 409-762-7646
Fax Number :
Provider Business Practice Location Address
First Line : 4623 FORT CROCKETT BLVD
Second Line :
City : GALVESTON
State : TX
Zip : 77551-5962
Country : US
Telephone Number : 409-762-7646
Fax Number : 409-762-9223
Authorized Official
Title or Position : REGISTERED AGENT
Name : DR. LORI L ANTMAN
Credential : D.C.
Telephone Number : 409-762-7646
Provider Enumeration Date : 04/25/2007
Last Update Date : 09/11/2025

Similar Medicare Providers

1629102231 — LORI LINETTE ANTMAN
Practice Location Address:
4623 FORT CROCKETT BLVD
GALVESTON, TX
77551-5962
Practice Phone: 409-762-7646
Practice Fax:
1851828370 — DR. BARBARA ADAMS DC
Practice Location Address:
4623 FORT CROCKETT BLVD
GALVESTON, TX
77551-5962
Practice Phone: 409-762-8333
Practice Fax:
1356900211 — KARINA RUIZ MASSAGE LICENCE
Practice Location Address:
4631 FORT CROCKETT BLVD
GALVESTON, TX
77551-5962
Practice Phone: 409-256-1035
Practice Fax:
1669313185 — JORDAN GRACE KELLY LICENSED PARAMEDIC
Practice Location Address:
1600 BIOVU DR
GALVESTON, TX
77551-1417
Practice Phone: 409-974-1500
Practice Fax:
1700739075 — JOHNNI RIDDAR LCDC
Practice Location Address:
4700 BROADWAY ST STE 300
GALVESTON, TX
77551-4241
Practice Phone: 346-287-2520
Practice Fax:
1396692380 — KATHERINE C HAVER
Practice Location Address:
1705 BAYOU SHORE DR
GALVESTON, TX
77551-4334
Practice Phone: 409-370-2669
Practice Fax:

Directions to “ISLAND HEALTH CENTER, P.A. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.