UTMB REGIONAL MATERNAL AND CHILD HEALTH PROGRAM (NPI# 1417034455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417034455 |
| Entity Type | Organization |
| Organization Name | UTMB REGIONAL MATERNAL AND CHILD HEALTH PROGRAM |
| Other Organization Name | UTMB RMCHP - DICKINSON |
| Practice Address |
3828 Hughes Ct Ste. 104 Dickinson TX 77539-6244 |
| Mailing Address |
301 University Blvd Route - 1078 Galveston TX 77555-1078 |
| Practice Telephone | 2815342576 |
| Practice Fax Number | 2815344598 |
| Mailing Telephone | 4097727725 |
| Mailing Fax Number | 4097727726 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LIZ CASTILLO (DIRECTOR, CLINICAL SUPPORT SERVICES) |
| Authorized Official Telephone | 4097727725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UTMB RMCHP - Dickinson | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477843555 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 1217 Ave M, Huntsville, TX 77340-4607 | 2011-04-11 |
| 1306145727 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 701 E Davis, Ste 104, Conroe, TX 77301-3102 | 2011-03-24 |
| 1326347741 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 1104 20th St North, Texas City, TX 77590-5490 | 2011-03-24 |
| 1962701383 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 2503 South Main St, Stafford, TX 77477-5544 | 2011-03-24 |
| 1609175025 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 2750 East Broadway, Pearland, TX 77581-4905 | 2011-03-24 |
| 1588963904 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 2603 Hospital Drive, Victoria, TX 77901-5753 | 2011-03-24 |
| 1588963979 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 511 Park Grove Drive, Katy, TX 77450-1759 | 2011-03-24 |
| 1952470957 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 2014 10th St, Orange, TX 77630-3431 | 2006-11-06 |
| 1588743124 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 1108 A. East Mulberry, Angleton, TX 77515 | 2006-11-03 |
| 1558449736 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 950 Washington, Beaumont, TX 77701 | 2006-11-02 |
| Street Address |
3828 HUGHES CT STE. 104 |
| City | DICKINSON |
| State | TX |
| Zip Code | 77539-6244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266570 | Vipulkumar G. Patel, M.d., P.a. | Internal Medicine | 3828 Hughes Ct, Ste 105, Dickinson, TX 77539-6235 | 2005-06-23 |
| 1679082747 | Nisha Renny | Family Medicine | 3828 Hughes Ct, Dickinson, TX 77539-6244 | 2017-09-21 |
| 1659814606 | Kristin Kliethermes | Nurse Practitioner | 3828 Hughes Ct, 204, Dickinson, TX 77539-6244 | 2016-11-23 |
| 1962871699 | University of Texas Medical Branch | General Acute Care Hospital | 3828 Hughes Ct, Dickinson, TX 77539-6244 | 2015-09-23 |
| 1245616895 | Yolanda Awung | Nurse Practitioner | 3828 Hughes Ct, Suite 204, Dickinson, TX 77539-6244 | 2015-08-05 |
| 1508240508 | Emily Price | Nurse Practitioner | 3828 Hughes Ct, Suite 104, Dickinson, TX 77539-6244 | 2015-07-20 |
| 1013216506 | Utmb Regional Maternal and Child Health Program | Clinic/Center | 3828 Hughes Ct, 104, Dickinson, TX 77539-6235 | 2011-03-23 |
| 1649501818 | Sridevi Pavuluri Md Pa | Internal Medicine | 3828 Hughes Ct, Suite 201, Dickinson, TX 77539-6244 | 2010-01-27 |
| 1295980936 | Women Specialists of Mainland, Pllc | Obstetrics & Gynecology | 3828 Hughes Ct, Court #207, Dickinson, TX 77539-6244 | 2008-11-21 |
| 1417136953 | Monica Voncannon | Registered Nurse | 3828 Hughes Ct, Ste 104, Dickinson, TX 77539-6244 | 2007-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940351 | Sushkap Dental Pllc | Dentist | 3448 Gulf Fwy., Dickinson, TX 77539 | 2020-04-09 |
| 1912567108 | Doves Home Care Agency, LLC | Home Health | 1124 Oak Hollow Dr, Dickinson, TX 77539 | 2019-06-19 |
| 1245718469 | Divine Csrd, LLC | Occupational Therapist | 608 Farm To Market Road 517 West, Dickinson, TX 77539 | 2018-07-31 |
| 1912491515 | Montoya Wilturner | Behavior Technician | 3001 Avenue B, Dickinson, TX 77539 | 2018-06-18 |
| 1528556370 | Taurus T, Pllc | Internal Medicine | 1621 Fm 517 Rd E, Dickinson, TX 77539 | 2018-04-27 |
| 1720504111 | Southwest Wellness Solutions | Physical Therapist | 608 Fm 517 Rd W, Dickinson, TX 77539 | 2017-08-17 |
| 1578013025 | Joie Hawkins Brownlee | Registered Nurse | 1804 Fm 646 Rd W Ste J, Dickinson, TX 77539 | 2016-10-08 |
| 1942668058 | Kelly Engle | Registered Nurse | 3828 Hughes Ct #104, Utmb Rmchp, Dickinson, TX 77539 | 2016-02-03 |
| 1356715122 | Quynh Le | Pharmacist | 3014 N Meadow Ln, Dickinson, TX 77539 | 2015-11-17 |
| 1144639311 | Jennifer Lee Warwick | Physician Assistant | 680 Fm 517 Road West, Dickinson, TX 77539 | 2014-08-12 |
| Find all providers in zip 77539 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417424912 | St Hope Foundation Inc | Clinic/Center | 3750 Medical Center Blvd Ste 150, Dickinson, TX 77539-7385 | 2018-11-01 |
| 1205056355 | Dickinson Medical Clinic Associates | Clinic/Center | 303 Fm 517 Road E, Dickinson, TX 77539-8630 | 2007-04-30 |
| 1013083625 | Bay Colony Mri & Diagnsotic Center, Lp | Clinic/Center | 2401 Fm 646 Rd W, Dickinson, TX 77539-3249 | 2006-11-27 |
| 1720075377 | Sanford Bismarck | Clinic/Center | 33 9th St W, Dickinson, ND 58601-3950 | 2005-09-29 |
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|---|---|---|---|---|
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| 1669086963 | Cl Haven Enterprises | Clinic/Center | 4443 Loop 322, Abilene, TX 79602-8056 | 2020-09-03 |
| 1689292773 | Crossover Health Medical Group | Clinic/Center | 1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965 | 2020-07-06 |
| 1053939140 | Crossover Health Medical Group | Clinic/Center | 215 W Camp Wisdom Rd Ste 11, Duncanville, TX 75116-3342 | 2020-07-06 |
| 1598380271 | Hanson Discovery Group LLC | Clinic/Center | 6002 Lofty Ln, Spring, TX 77379-5087 | 2020-06-09 |
| 1770107856 | Vascular Institute of Houston Pllc | Clinic/Center | 815 Brazos St Ste 500, Austin, TX 78701-2509 | 2020-06-03 |
| 1497378988 | Post-acute Care Services, Pllc | Clinic/Center | 5729 Martin Rd Apt 107, Plano, TX 75024-4955 | 2020-05-19 |
| 1407476138 | Summit Emergency Medicine, Pllc | Clinic/Center | 8111 Lbj Fwy Ste 475, Dallas, TX 75251-1386 | 2020-04-22 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1376163311 | Betts Ventures Inc | Clinic/Center | 13134 Dairy Ashford Rd Ste 900-a, Sugar Land, TX 77478-3756 | 2020-04-20 |
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| 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.