Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prison Health |
261QP2400X |
| NPI Number | 1063821981 |
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| LBN Legal business name | UTMB | ||||
| Authorized official | SANDRA SMOCK - (PROVIDER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/05/2014 | ||||
| Last updated | 08/05/2014 - About 12 years ago | ||||
| Identifiers |
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