# UNIVERSITY OF TEXAS MEDICAL BRANCH

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

## Provider details

- **NPI number:** 1710292800
- **Authorized official:** DR. RICHARD GOODGAME M.D. (PROGRAM DIRECTOR)
- **Authorized official phone:** (409) 772-0798

## Contact information

- **Practice address:** 301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
- **Practice address phone:** (409) 772-0798
- **Mailing address:** 3102 COVE VIEW BLVD APT E106, GALVESTON, TX 77554-8027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | BP10037958 | TX | Yes |

## Other

- **Enumeration date:** 08/12/2010
- **Last updated:** 08/12/2010