Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
May 22, 2026
License(s)
BP10098459 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 301 UNIVERSITY BLVD | Galveston, TX 77555-5302 | 909-747-1883 |
| LOCATION | 301 UNIVERSITY BLVD | Galveston, TX 77555-5302 | 909-747-1883 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.