NPIMap

Organization Active NPI

Utmb Regional Maternal and Child Health Program

  • Multi-Specialty Clinic/Center
  • Stafford, TX
National Provider Identifier
1003988445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UTMB REGIONAL MATERNAL AND CHILD HEALTH PROGRAM
Practice address
2503 S Main St
Ste. B
Stafford, TX 77477-5544
Phone
(281) 499-3004
Fax
(281) 261-7140
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Liz Castillo
Title
Director, Clinical Support Services
Phone
(409) 772-7725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2503 S Main St
Ste. B
Stafford, TX 77477-5544

Mailing address

301 University Blvd
Route - 1078
Galveston, TX 77555-1078
Phone (409) 772-7725

Other names 1

  • UTMB RMCHP - Stafford Other name

National Provider Directory

National Provider Directory
Tax ID family
Utmb Regional Maternal and Child Health Program43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

2503 S Main St
Ste B
Stafford, TX 77477
Phone (281) 261-7140

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003988445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "ROUTE - 1078",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551078",
            "telephone_number": "409-772-7725",
            "fax_number": "409-772-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S MAIN ST",
            "address_2": "STE. B",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775544",
            "telephone_number": "281-499-3004",
            "fax_number": "281-261-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTMB REGIONAL MATERNAL AND CHILD HEALTH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL SUPPORT SERVICES",
        "authorized_official_telephone_number": "409-772-7725"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTMB RMCHP - Stafford",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.