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UTMB FACULTY GROUP PRACTICE NPI 1942241146


NPI Information

NPI: 1942241146
Provider Name: UTMB FACULTY GROUP PRACTICE
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
301 UNIVERSITY BLVD
GALVESTON, TX
ZIP 77555
Phone: (409) 772-2222
Get Directions

UTMB FACULTY GROUP PRACTICE is a general practice in Galveston, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee UTMB FACULTY GROUP PRACTICE NPI is 1942241146. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 UNIVERSITY BLVD
GALVESTON, TX
ZIP 77555-302
Phone: (409) 772-2222

The provider's authorized official is Gabriela Villarreal .
The authorized official title is Director and has the following contact phone number (409) 747-1173.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 3/14/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2207N00000XDermatologyNo
3207P00000XEmergency MedicineNo
4207R00000XInternal MedicineNo
5207V00000XObstetrics & GynecologyNo
6207W00000XOphthalmologyNo
7207Y00000XOtolaryngologyNo
8207ZP0101XPathologyAnatomic PathologyNo
9208000000XPediatricsNo
102084N0400XPsychiatry & NeurologyNeurologyNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
122085R0202XRadiologyDiagnostic RadiologyNo
132085R0203XRadiologyTherapeutic RadiologyNo
14208600000XSurgeryNo
15208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1109372601MEDICAIDTEXAS
2CI5830OTHERTEXASRR PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.