NPIMap

Organization Active NPI

Utmb Regional Maternal and Child Health Program

  • Ambulatory Family Planning Facility
  • Stafford, TX
National Provider Identifier
1962701383
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
UTMB REGIONAL MATERNAL AND CHILD HEALTH PROGRAM
Practice address
2503 South Main St
Stafford, TX 77477-5544
Phone
(281) 499-3004
Fax
(281) 261-7140
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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
Ambulatory Family Planning Facility 261QA0005X Primary

Addresses

Primary practice location

2503 South Main St
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 Doing business as

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
Stafford, TX 77477
Phone (281) 499-3004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1962701383",
    "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 SOUTH MAIN ST",
            "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": "2011-03-24",
        "last_updated": "2011-03-24",
        "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": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTMB RMCHP - Stafford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 24, 2011; 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.