Organization
UNIVERSITY OF TEXAS MEDICAL BRANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY MCLEAN (CREDENTIALING)
(409) 772-7893
Entity
Organization
Contact information
Practice address
3828 HUGHES CT, DICKINSON, TX 77539-6244
(281) 534-2576
Mailing address
304 LAKE FRONT DR, LEAGUE CITY, TX 77573-2820
(713) 562-1478
Taxonomy
Speciality
Code
Description
License number
State
282NW0100X
Women's Hospital
Primary
CNM2763
TX
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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