Organization Active NPI

University of Texas Medical Branch at Galveston

  • Optician
  • Texas City, TX
National Provider Identifier
1124401716
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Practice address
10121 Emmett Lowry Expressway
Texas City, TX 77591
Phone
(409) 978-4315
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Dr. Bernard Godley
Title
Chairman
Phone
(409) 747-5823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

10121 Emmett Lowry Expressway
Texas City, TX 77591

Mailing address

10121 Emmett Lowry Expressway
Texas City, TX 77591
Phone (409) 978-4315

National Provider Directory

National Provider Directory
Tax ID family
University of Texas Medical Branch at Galveston9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

10121 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-8466

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1124401716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 EMMETT LOWRY EXPRESSWAY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77591",
            "telephone_number": "409-978-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 EMMETT LOWRY EXPRESSWAY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77591",
            "telephone_number": "409-978-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "GODLEY",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "409-747-5823",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.