Organization · NPI-2
Utmb Faculty Group Practice
Obstetrics & Gynecology · Pearland, TX
NPI number1629019823
StatusActive
Last updated in NPPESSep 22, 2009
Details
- NPI
- 1629019823
- Entity type
- Organization (NPI-2)
- Legal business name
- Utmb Faculty Group Practice
- Organization subpart
- No
- Enumeration date
- Jun 9, 2006
- Last updated
- Sep 22, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
| 208600000X | Surgery | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | |
| 207W00000X | Ophthalmology | – | – | |
| 207Y00000X | Otolaryngology | – | – | |
| 207ZP0101X | Pathology, Anatomic Pathology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 207L00000X | Anesthesiology | – | – | |
| 207N00000X | Dermatology | – | – | |
| 207P00000X | Emergency Medicine | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 2085R0001X | – | – |
Practice location
4616 Broadway StSte. F
Pearland, TX 77581-3956
Phone 281-485-3220 · Fax 281-485-3506
Mailing address
P O Box 4797-710Houston, TX 77210-4797
Phone 409-772-2222
Authorized official
Cynthia L. Smith
Director
4097722222
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