Organization
THE UNIVERSITY OF TEXAS MEDICAL BRANCH
Active
Organization
THE UNIVERSITY OF TEXAS MEDICAL BRANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L CALLENDER M.D. (PRESIDENT)
(409) 772-1902
Entity
Organization
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 747-9734
Mailing address
301 UNIVERSITY BLVD, REBECCA SEALY HOSPITAL, ROOM 4.232, GALVESTON, TX 77555-5302
(409) 747-8779
(409) 747-8775
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021759801
—
TX
01
—
HH3051
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/26/2006
Last updated
10/07/2009
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