Utmb At Galveston

NPI 1407272024 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1407272024
Enumeration Date 03/06/2014
Last Updated 03/06/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARK MARK
Position PHYSICIAN ASSISTANT
Phone (936) 258-8013
Fax
Practice Location
902 FM 686
DAYTON TX, 77535-2299, US
Phone (936) 258-8013
Fax
Business Location
902 FM 686
DAYTON TX, 77535-2299, US
Phone (936) 258-8013
Fax
Toxanomy
Taxonomy Code 302R00000X
License State Texas
License Number PA00300
Remove 1407272024 NPI Number
 

According to our database, Utmb At Galveston NPI is 1407272024, taxonomy code is 302R00000X and license number is PA00300, license state is located at Texas. Utmb At Galveston physically located at 902 Fm 686, Dayton TX, 77535-2299. NPI Number 1033115704 has the healthcare provider type.

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1407272024 NPI number is provided on an as is basis without warranty of any kind. 1407272024 is maintained by the National Plan & Provider Enumeration System. The contents of Utmb At Galveston are for informational purposes only.