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Contact Information

UTMB FACULTY GROUP PRACTICE
301 UNIVERSITY BLVD
GALVESTON, TX77555-5302
 Phone: 409-772-2222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Anatomic Pathology

207ZP0101X 22 Physician/Pathology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Radiation Oncology

2085R0203X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for UTMB FACULTY GROUP PRACTICE · (Female)

NPI Number 1942241146
Status Active
Credentials
Entity Individual
Enumeration date 06/09/2006
Last updated 06/04/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 109372601
  • TX Other CI5830 RR PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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