Organization
UTMB REGIONAL AND MATERNAL CHILD HEALTH PROGRAM
Active
Other names
UTMB RMCHP - Orange
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ CASTILLO (DIRECTOR CLINICAL SUPPORT SERVICES)
(409) 772-7725
Entity
Organization
Contact information
Practice address
2014 NORTH 10TH STREET, ORANGE, TX 77630-3431
(409) 883-6119
(409) 883-3147
Mailing address
301 UNIVERSITY BLVD, ROUTE - 1078, GALVESTON, TX 77555-1078
(409) 772-7725
(409) 772-7726
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214005501
—
TX
Enumeration date
02/09/2011
Last updated
02/09/2011
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