OrganizationActive
University of Texas Medical Branch at Galveston
NPI 1629465950 · Point of Service · Willis, TX
Provider details
- NPI number
- 1629465950
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Bobby Vincent, Regional Medical Director(936) 295-8200
- License
- PA 00006 (TX)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(74/100 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
11437 Outpost Cove
Willis, TX 77318-5485
Phone: (936) 890-3287
Street-level locationGet directions
Mailing address
11437 Outpost Cove
Willis, TX 77318-5485
Registry dates
- Enumerated
- 2015-04-24
- Last updated
- 2015-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.