Organization
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY VINCENT MD (REGIONAL MEDICAL DIRECTOR)
(936) 295-8200
Entity
Organization
Contact information
Practice address
11437 OUTPOST COVE, WILLIS, TX 77318-5485
(936) 890-3287
Mailing address
11437 OUTPOST COVE, WILLIS, TX 77318-5485
(936) 890-3287
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PA 00006
TX
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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