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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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