Organization
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Active
Other names
University of Texas Medical Branch
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOCHEN REISER MD (PRESIDENT)
(409) 772-1909
Entity
Organization
Contact information
Practice address
301 UNIVERSITY BLVD, RT 1076, GALVESTON, TX 77555-5302
(409) 772-1011
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0115
(409) 747-8783
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QC0050X
Critical Access Hospital Clinic/Center
—
—
281P00000X
Chronic Disease Hospital
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
341600000X
Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000657901
—
TX
05
—
025251201
—
TX
01
—
0490166
AETNA HMO
—
05
—
094092601
—
TX
05
—
094092602
—
TX
05
—
112817501
—
TX
05
—
112817503
—
TX
01
—
13954
AMERICAID CHIP
—
01
—
17937
SCOTT & WHITE
—
01
—
HH0051
BLUE CROSS
TX
Enumeration date
04/25/2006
Last updated
06/04/2024
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