UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON (NPI# 1306802384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306802384 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Other Organization Name | UNIVERSITY OF TEXAS MEDICAL BRANCH |
| Practice Address |
301 University Blvd Csw 7th Floor Galveston TX 77555-0401 |
| Mailing Address |
301 University Blvd Galveston TX 77555-0401 |
| Practice Telephone | 4097721175 |
| Mailing Telephone | 4097723150 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | DR. BENNY G RAIMER (INTERIM PRESIDENT) |
| Authorized Official Telephone | 4097721902 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 161988401 | 05 |
| Other Name | Type Code |
|---|---|
| University of Texas Medical Branch | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124401716 | University of Texas Medical Branch At Galveston | Technician/Technologist | 10121 Emmett Lowry Expressway, Texas City, TX 77591 | 2015-07-01 |
| 1629465950 | University of Texas Medical Branch At Galveston | Point of Service | 11437 Outpost Cove, Willis, TX 77318-5485 | 2015-04-24 |
| 1770525305 | University of Texas Medical Branch At Galveston | Pharmacy | 2400 Avenue I, Huntsville, TX 77340-5830 | 2006-06-11 |
| 1831710086 | University of Texas Medical Branch At Galveston | Durable Medical Equipment & Medical Supplies | 250 Blossom St, Ste 105, Webster, TX 77598 | 2020-04-29 |
| 1386026367 | University of Texas Medical Branch At Galveston | Pharmacy | 2240 Gulf Fwy S, Pharmacy Room 2.203, League City, TX 77573-5143 | 2015-06-25 |
| 1609039874 | University of Texas Medical Branch At Galveston | General Acute Care Hospital | 700 University Blvd, Utmb Dept of Ophthalmology, Galveston, TX 77550-5552 | 2008-07-08 |
| 1821054883 | University of Texas Medical Branch At Galveston | Clinic/Center | 301 University Blvd, University Hospital Clinics, Room 4.234, Galveston, TX 77555-1388 | 2006-04-26 |
| 1548226988 | University of Texas Medical Branch At Galveston | Clinic/Center | 301 University Blvd, Galveston, TX 77555-5302 | 2006-04-25 |
| 1073592739 | University of Texas Medical Branch At Galveston | Medical Genetics, Ph.D. Medical Genetics | 301 University Blvd, Galveston, TX 77555-5683 | 2006-01-11 |
| Street Address |
301 UNIVERSITY BLVD CSW 7TH FLOOR |
| City | GALVESTON |
| State | TX |
| Zip Code | 77555-0401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742714 | Bagi Rp Jana | Internal Medicine | 301 University Blvd, Galveston, TX 77555-0565 | 2005-06-30 |
| 1023617685 | Kimberly Joy Staton | Nurse Practitioner | 301 University Blvd, Galveston, TX 77555-5303 | 2020-10-23 |
| 1295333185 | Adelina Mun See Leong | Physician Assistant | 301 University Blvd, Galveston, TX 77555-3205 | 2020-10-13 |
| 1245838341 | Zachary Allen Helmick | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-10-12 |
| 1477150795 | Mason Juehon Yu | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-10-09 |
| 1336746866 | Hillary Mai | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-10-07 |
| 1699380139 | Sanjai Naicheril Sabu | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-09-11 |
| 1497369409 | Olusola Sogbein | Internal Medicine | 301 University Blvd, Galveston, TX 77555-0562 | 2020-09-08 |
| 1801409636 | Anand Kumar | Internal Medicine | 301 University Blvd, Galveston, TX 77555-0100 | 2020-08-31 |
| 1235748633 | Youlanda Martin-jones | Family Medicine | 301 University Blvd, Galveston, TX 77555-5302 | 2020-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963389 | Ruba Riachy | Internal Medicine | The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 | 2019-07-16 |
| 1700362670 | Nidal Alhosainat | Internal Medicine | 301 University Blvd, 4.200 John Sealy Annex, Galveston, TX 77555 | 2018-07-13 |
| 1275915282 | Murtaza Mazhar | Internal Medicine | 301 University Blvd Cardiovascular Disease, Galveston, TX 77555 | 2015-06-25 |
| 1124469531 | Nisarg Shaileshbhai Shah | Internal Medicine | 400 Harborside Dr Suite #100, Endocrinology, Galveston, TX 77555 | 2013-07-13 |
| 1912260860 | Mohammed Fathi Zaidan | Internal Medicine | University of Texas Medical, 301 University Boulevard, Galveston, TX 77555 | 2012-06-15 |
| 1639465925 | Justin Blinn | Anesthesiology | 301 University Blvd # 2-a, Galveston, TX 77555 | 2011-06-24 |
| 1255532982 | Miguel Mauricio Cabada Samame | Internal Medicine | 301 University Boulevard Rt 0435, Galveston, TX 77555 | 2007-05-30 |
| 1154945608 | Elliot Blankespoor | Anesthesiology | 301 University Boulevard, 5.504 Jennie Sealy Hospital, Galveston, TX 77555 | 2020-06-01 |
| 1932699972 | Sara Medsker | Pediatrics | 301 University Blvd., Galveston, TX 77555 | 2018-05-15 |
| 1134297666 | Donna B Weaver | Family Medicine | 400 Harborside Dr, Galveston, TX 77555 | 2006-12-01 |
| Find all providers in zip 77555 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695471 | Lone Star Community Health Center, Inc. | Pharmacy | 227 State Highway 75 N Ste 130, Huntsville, TX 77320-3171 | 2020-09-28 |
| 1508428046 | Pharmacore Consulting Group | Pharmacy | 2440 Texas Pkwy Ste 380, Missouri City, TX 77489-4000 | 2019-07-05 |
| 1245894682 | Burke Center | Pharmacy | 1522 W Frank Ave Ste 109, Lufkin, TX 75904-3334 | 2019-04-30 |
| 1578053591 | Corpus Christi Urology Group, Pllc | Pharmacy | 601 Texan Trl Ste 100a, Corpus Christi, TX 78411-2548 | 2018-05-15 |
| 1174023493 | Pristinerx Consulting LLC | Pharmacy | 12046 Giddings Dr, Frisco, TX 75035-8874 | 2018-02-13 |
| 1649704396 | North Central Texas Community Health Care Center, Inc | Pharmacy | 1301 3rd St Ste 100, Wichita Falls, TX 76301-2245 | 2017-04-19 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1407394992 | Bsa Amarillo Diagnostic Clinic | Pharmacy | 6700 W 9th Ave Ste C, Amarillo, TX 79106-1729 | 2017-02-06 |
| 1659700540 | Familia Care Inc | Pharmacy | 10058 A. Long Point, Houston, TX 77055 | 2013-11-01 |
| 1376971499 | Planned Parenthood of Greater Texas | Pharmacy | 9100 N Central Expy # 169, Dallas, TX 75231-5922 | 2013-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.