University Of Texas Medical Branch At Galveston
Point of Service in Willis, TX. Organization (NPI-2).
NPI number1629465950
StatusActive
Last updated in NPPESApr 24, 2015
Details
- NPI
- 1629465950
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of Texas Medical Branch At Galveston
- Organization subpart
- No
- Enumeration date
- Apr 24, 2015
- Last updated
- Apr 24, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | PA 00006 | TX | Yes |
Practice location
11437 Outpost CoveWillis, TX 77318-5485
Phone 936-890-3287
Mailing address
11437 Outpost CoveWillis, TX 77318-5485
Phone 936-890-3287
Authorized official
Bobby Vincent
Regional Medical Director
9362958200
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