Utmb Eci Launch

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

UTMB ECI LAUNCH

Practice address

301 University Blvd
RT 1022
Galveston, TX 77555-5302

Phone

(409) 772-2222

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

UTMB FACULTY GROUP PRACTICEAs reported in NPPES

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

Authorized official

Name

Cynthia L Smith

Title

Associate Director

Phone

(409) 772-7710

Specialties & licenses 2

Addresses

Tax ID family

University of Texas Medical Branch2 organizations share this tax ID, including this one

Part of

Rick Lohstroh MD

Other organizations with this tax ID 1

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

• University of Texas Medical Branch

  dba UTMB Providers

  • Developmental Disabilities Clinic/Center
  • Galveston, TX
  • NPI 1629283569
  NPD tax ID

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1174798789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "RT 1022",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-772-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "RT 1022",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-772-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTMB ECI LAUNCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTMB FACULTY GROUP PRACTICE",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "409-772-7710"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• US Coast Guard Sector Field Office Galveston Health Services Dept
• Utmb
• Utmb
• Utmb
• Utmb
• Utmb Faculty Group Practice
• Utmb Faculty Group Practice
• Utmb Galveston
• Utmb Regional Maternal and Child Health (UTMB Galveston Division)
• Utmb Regional Maternal and Child Health Program

• Audiologist in Galveston, TX
• Providers in Galveston, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.