Utmb Faculty Group Practice

LBN: Utmb Faculty Group Practice
Utmb Faculty Group Practice is an health care organization with primary practice located at 950 Washington Blvd , Beaumont TX 77705-2251. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Utmb Faculty Group Practice can be contacted via phone (409) 833-3826, or through Smith, Cynthia L. via phone (409) 772-2222.

Contact Information

Primary practice address
950 Washington Blvd Beaumont TX 77705-2251
Phone: (409) 833-3826
Fax: (409) 833-9575
Website:
Map and Directions
Authorized official contact:
Name: Smith, Cynthia L.
Phone: (409) 772-2222

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1821039058
LBN Legal business name Utmb Faculty Group Practice
DBA Doing business as
Authorized official Smith, Cynthia L.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Sep 22nd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821039058 NPPES
Texas MEDICAID 112048704

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