National Provider Identifier Database

UTMB
Prison Health


Contact Information

UTMB
12603 SOUTHWEST FWY STE 335
STAFFORD, TX77477-3842
Phone: 281-269-6700
Fax: 281-265-5163
Website:
Specialty Taxonomy Code
* Prison Health 261QP2400X

* Indicates primary specialty

NPI Profile & details for UTMB

NPI Number 1063821981
Legal business name
LBN
UTMB
Authorized official SANDRA SMOCK - (PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 08/05/2014
Last updated 08/05/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 233196

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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