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NPI Code Detail

MEDICARE: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON

MEDICARE: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
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
1282N00000XGeneral Acute Care HospitalN0152TX

General Provider Information

NPI Number : 1609039874
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Provider Business Mailing Address
First Line : 3427 ASHTON PARK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-5309
Country : US
Telephone Number : 713-291-4137
Fax Number :
Provider Business Practice Location Address
First Line : 700 UNIVERSITY BLVD
Second Line : UTMB DEPT OF OPHTHALMOLOGY
City : GALVESTON
State : TX
Zip : 77550-5552
Country : US
Telephone Number : 409-747-5401
Fax Number :
Authorized Official
Title or Position : CHAIRMAN OF OPHTHALMOLOGY
Name : BERNARD GODLEY
Credential : M.D.
Telephone Number : 409-747-5413
Provider Enumeration Date : 07/08/2008
Last Update Date : 07/08/2008

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Directions to “UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON ” Practice Location

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