OrganizationActive
Utmb
NPI 1063821981 · Prison Health Clinic/Center · Stafford, TX
Provider details
- NPI number
- 1063821981
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandra Smock, Provider(281) 269-6700
- License
- 233196 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12603 Southwest Fwy Ste 335
Stafford, TX 77477-3842
Phone: (281) 269-6700
Fax: (281) 265-5163
Approximate (ZIP-level) locationGet directions
Mailing address
12603 Southwest Fwy Ste 335
Stafford, TX 77477-3842
Registry dates
- Enumerated
- 2014-08-05
- Last updated
- 2014-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.