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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