Provider Demographics
NPI:1003515842
Name:UNITY WELLNESS CLINIC & REHAB OF CEDAR HILL
Entity Type:Organization
Organization Name:UNITY WELLNESS CLINIC & REHAB OF CEDAR HILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-658-3299
Mailing Address - Street 1:1701 ELDORADO PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-8069
Mailing Address - Country:US
Mailing Address - Phone:972-658-3299
Mailing Address - Fax:
Practice Address - Street 1:210 W BELT LINE RD STE D
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2081
Practice Address - Country:US
Practice Address - Phone:469-257-1020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA