Organization
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Active
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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