National Provider Identifier Database

UTMB FACULTY GROUP PRACTICE
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Contact Information

UTMB FACULTY GROUP PRACTICE
301 UNIVERSITY BLVD
GALVESTON, TX  77555-5302
Phone: 409-772-2222
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Anatomic Pathology 207ZP0101X
Anesthesiology 207L00000X
Dermatology 207N00000X
Diagnostic Radiology 2085R0202X
Emergency Medicine 207P00000X
Internal Medicine 207R00000X
Neurology 2084N0400X
Obstetrics & Gynecology 207V00000X
Ophthalmology 207W00000X
Otolaryngology 207Y00000X
Pediatrics 208000000X
Psychiatry 2084P0800X
Radiation Oncology 2085R0203X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for UTMB FACULTY GROUP PRACTICE

NPI Number 1942241146
Legal business name
LBN		 UTMB FACULTY GROUP PRACTICE
Authorized official GABRIELA VILLARREAL - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/09/2006
Last updated 06/04/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 109372601
  • TX Other: CI5830 RR PIN

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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