Organization
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Active
Organization
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ELGHETANY (VICE CHAIR OF PATHOLOGY)
(409) 747-2468
Entity
Organization
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5683
(409) 772-4866
Mailing address
3433 COVE VIEW BLVD, APT 3303, GALVESTON, TX 77554
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
2002026
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQP28231
LAB DIRECTOR CQ
NY
Enumeration date
01/11/2006
Last updated
08/22/2020
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