| Utmb Rmchp - Huntsville | |
|
1217 Avenue M Huntsville TX 77340-4607 | |
| (936) 295-7474 | |
| (936) 295-1516 |
| Full Name | Utmb Rmchp - Huntsville |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1217 Avenue M, Huntsville, Texas |
| Authorized Official Name and Position | Liz Castillo (DIRECTOR, CLINICAL SUPPORT SERVICES) |
| Authorized Official Contact | 4097727725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utmb Rmchp - Huntsville 301 University Blvd Route - 1078 Galveston TX 77555-1078 Ph: (409) 772-7725 | Utmb Rmchp - Huntsville 1217 Avenue M Huntsville TX 77340-4607 Ph: (936) 295-7474 |
| NPI Number | 1932286986 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932286986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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