Healthcare Provider Details
I. General information
NPI: 1487861340
Provider Name (Legal Business Name): GALVESTON COUNTY HEALTH DISTRICT - GENERAL FUND
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2007
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9850 EMMETT F LOWRY EXPY STE A SUITE A-108
TEXAS CITY TX
77591-2001
US
IV. Provider business mailing address
PO BOX 939
LA MARQUE TX
77568-0939
US
V. Phone/Fax
- Phone: 409-938-2401
- Fax: 409-938-2243
- Phone: 409-938-2401
- Fax: 409-938-2243
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
WARREN
JAY
HOLLAND
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 409-938-2401