Organization
ISLAND CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D. THORLEY M.D. (OWNER)
(409) 744-6373
Entity
Organization
Contact information
Practice address
6511 STEWART RD, SUITE # 1, GALVESTON, TX 77551-1837
(409) 744-6373
(409) 744-9300
Mailing address
6511 STEWART RD, SUITE # 1, GALVESTON, TX 77551-1837
(409) 744-6373
(409) 744-9300
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
TX
Other
Enumeration date
07/25/2006
Last updated
07/21/2022
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