# UTMB GALVESTON

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

## Provider details

- **NPI number:** 1801095237
- **Authorized official:** DR. MOHD D ALFAWAREH MD (FELLOW)
- **Authorized official phone:** (409) 747-1309

## Contact information

- **Practice address:** SPINE DIVISION DEPARTEMNT OF ORTHOPEDICS RM 2.316, 301 UNIVERSITY BLD, GALVESTON, TX 77555-0165
- **Practice address phone:** (409) 747-1300
- **Practice address fax:** (409) 747-1305
- **Mailing address:** SPINE DIVISION DEPARTEMNT OF ORTHOPEDICS RM 2.316, 301 UNIVERSITY BLD, GALVESTON, TX 77555-0165
- **Mailing address phone:** (409) 747-1300
- **Mailing address fax:** (409) 747-1305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | BP10026941 | TX | Yes |

## Other

- **Enumeration date:** 07/16/2007
- **Last updated:** 07/16/2007