Utmb

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

UTMB

Practice address

301 University Blvd
Galveston, TX 77555-5302

Phone

(409) 747-1170

NPI assigned

Aug 29, 2016

Last updated

Aug 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Priscila Emmanuel Martinez, M.D.

Title

Faculty

Phone

(214) 850-0326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1295281350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-747-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-747-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "PRISCILA",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "FACULTY",
        "authorized_official_telephone_number": "214-850-0326",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Unruh
• Randall J Urban, MD
• Tomas Eduardo Uribe Acosta, MD
• US Coast Guard
• US Coast Guard Sector Field Office Galveston Health Services Dept
• Utmb
• Utmb
• Utmb
• Utmb Eci Launch
• Utmb Faculty Group Practice

• Community Health Clinic/Center in Galveston, TX
• Providers in Galveston, TX by specialty
• Community Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.