Organization
UNIVERSITY OF TEXAS MEDICAL BRANCH
Active
Other names
UTMB-CMC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY MELVIN VINCENT M.D. (MEDICAL DIRECTOR)
(936) 295-5768
Entity
Organization
Contact information
Practice address
815 11TH ST, HUNTSVILLE, TX 77340-4729
(936) 295-5768
Mailing address
815 11TH ST, HUNTSVILLE, TX 77340-4729
(936) 295-5768
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PA03334
TX
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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