Organization
UTMB HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUSHPA K GUMMATTIRA MD (PSYCHIATRIST 1)
(281) 277-3700
Entity
Organization
Contact information
Practice address
4 JESTER RD, RICHMOND, TX 77406-8544
(281) 277-3700
Mailing address
4 JESTER RD, RICHMOND, TX 77406-8544
(281) 277-3700
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
H4367
TX
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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