Organization
UNIVERSITY OF TEXAS MEDICAL BRANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD GOODGAME M.D. (PROGRAM DIRECTOR)
(409) 772-0798
Entity
Organization
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-0798
Mailing address
3102 COVE VIEW BLVD APT E106, GALVESTON, TX 77554-8027
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
BP10037958
TX
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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