Provider Demographics
NPI:1033410311
Name:PAVIC HEALTH CARE GROUP INC.
Entity Type:Organization
Organization Name:PAVIC HEALTH CARE GROUP INC.
Other - Org Name:PAVIC HEALTH CARE GROUP INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:UNAWUNWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-883-5859
Mailing Address - Street 1:9720 TOWN PARK DR
Mailing Address - Street 2:120
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2334
Mailing Address - Country:US
Mailing Address - Phone:832-883-5859
Mailing Address - Fax:
Practice Address - Street 1:9720 TOWN PARK DR
Practice Address - Street 2:120
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2334
Practice Address - Country:US
Practice Address - Phone:832-883-5859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health