| Organization Name: | UNIVERSITY OF TEXAS MEDICAL BRANCH |
| NPI Number: | 1033310388 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM PANDANELL (PROGRAM MANAGER, RESIDENCY TRAINING) |
| Mailing Address: | 301 University Blvd 417 Jennie Sealy Hospital Galveston |
| State: | TX US |
| Postal Code: | 775550462 |
| Phone Number: | 4097724194 |
| Fax Number: | 4097729785 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 08/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP0905X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Public Health, State or Local |
| Taxonomy Definition: | |