# UTMB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295281350
- **Authorized official:** PRISCILA EMMANUEL MARTINEZ M.D. (FACULTY)
- **Authorized official phone:** (214) 850-0326

## Contact information

- **Practice address:** 301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
- **Practice address phone:** (409) 747-1170
- **Mailing address:** 301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
- **Mailing address phone:** (409) 747-1170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2016
- **Last updated:** 08/29/2016
