| Full Name | Utmb Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 4 Jester Rd, Richmond, Texas |
| Authorized Official Name and Position | Pushpa K Gummattira (PSYCHIATRIST 1) |
| Authorized Official Contact | 2812773700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utmb Health 4 Jester Rd Richmond TX 77406-8544 Ph: (281) 277-3700 | Utmb Health 4 Jester Rd Richmond TX 77406-8544 Ph: (281) 277-3700 |
| NPI Number | 1104211465 |
|---|---|
| Provider Enumeration Date | 04/03/2015 |
| Last Update Date | 04/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104211465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H4367 (Texas) | Primary |
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