# UNIVERSITY OF TEXAS MEDICAL BRANCH

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

## Provider details

- **NPI number:** 1962871699
- **Authorized official:** MS. CATHY MCLEAN (CREDENTIALING)
- **Authorized official phone:** (409) 772-7893

## Contact information

- **Practice address:** 3828 HUGHES CT, DICKINSON, TX 77539-6244
- **Practice address phone:** (281) 534-2576
- **Mailing address:** 304 LAKE FRONT DR, LEAGUE CITY, TX 77573-2820
- **Mailing address phone:** (713) 562-1478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NW0100X | Women's Hospital | CNM2763 | TX | Yes |

## Other

- **Enumeration date:** 09/23/2015
- **Last updated:** 09/23/2015