Organization
ISLAND HEALTH CENTER, P.A.
Active
Organization
ISLAND HEALTH CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI L ANTMAN D.C. (REGISTERED AGENT)
(409) 762-7646
Entity
Organization
Contact information
Practice address
4623 FORT CROCKETT BLVD, GALVESTON, TX 77551-5962
(409) 762-7646
(409) 762-9223
Mailing address
4623 FORT CROCKETT BLVD, GALVESTON, TX 77551-5962
(409) 762-7646
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC4392
TX
261QX0100X
Occupational Medicine Clinic/Center
K6521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629102231
NPI 1
TX
01
—
8H8091
BLUE CROSS BLUE SHIELD
TX
01
—
8H8092
BLUE CROSS BLUESHIELD
TX
01
—
DC4392
LICENSE
TX
01
—
K6521
LICENSE
TX
Enumeration date
04/25/2007
Last updated
09/11/2025
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