University of Texas Medical Branch

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

UNIVERSITY OF TEXAS MEDICAL BRANCH

Doing business as

UTMB Providers

Practice address

301 University Blvd
RT 1022
Galveston, TX 77555-5302

Phone

(409) 772-2222

NPI assigned

May 14, 2007

Last updated

May 18, 2009By 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

Cythina L Smith

Title

Director

Phone

(409) 772-7710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UTMB Providers Doing business as

Tax ID family

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

Other organizations with this tax ID 1

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

• Utmb Eci Launch

  • Audiologist
  • Galveston, TX
  • NPI 1174798789
  NPD tax ID

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1629283569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4797-710",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77210",
            "telephone_number": "409-772-0848"
        },
        {
            "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": "UNIVERSITY OF TEXAS MEDICAL BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CYTHINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-772-7710"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017431001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTMB Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Duane Joseph Ullman, O.D.
• Adaku Ume, MD, PHD
• University of Texas Medical Branch
• University of Texas Medical Branch
• University of Texas Medical Branch
• University of Texas Medical Branch
• University of Texas Medical Branch at Galveston
• University of Texas Medical Branch at Galveston (University of Texas Medical Branch)
• University of Texas Medical Branch at Galveston (University of Texas Medical Branch)
• University of Texas Medical Branch at Galveston

• Developmental Disabilities Clinic/Center in Galveston, TX
• Providers in Galveston, TX by specialty
• Developmental Disabilities Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.