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Organization

UTMB ECI LAUNCH

Active
Parent organization
UTMB FACULTY GROUP PRACTICE
Organization subpart
Yes

Provider details

NPI number
Legal business name
UTMB FACULTY GROUP PRACTICE
Authorized official
CYNTHIA L SMITH (ASSOCIATE DIRECTOR)
(409) 772-7710
Entity
Organization

Contact information

Practice address
301 UNIVERSITY BLVD, RT 1022, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, RT 1022, GALVESTON, TX 77555-5302
(409) 772-2222

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
04/24/2008
Last updated
04/24/2008
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