Organization
UTMB REGIONAL AND MATERNAL CHILD HEALTH PROGRAM
Active
Other names
UTMB RMCHP - Nacogdoches
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ CASTILLO (DIRECTOR, CLINICAL SUPPORT SERVICES)
(409) 772-7725
Entity
Organization
Contact information
Practice address
206 MIMMS AVE, NACOGDOCHES, TX 75961-5028
(936) 560-0151
(936) 560-1636
Mailing address
301 UNIVERSITY BLVD, ROUTE - 1078, GALVESTON, TX 77555-1078
(409) 772-7725
(409) 772-7726
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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