Provider Demographics
NPI:1093865446
Name:UNGER FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:UNGER FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:UNGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-585-8440
Mailing Address - Street 1:PO BOX 2534
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77512-2534
Mailing Address - Country:US
Mailing Address - Phone:281-585-8440
Mailing Address - Fax:281-585-8464
Practice Address - Street 1:316 E HOUSE ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-3546
Practice Address - Country:US
Practice Address - Phone:281-585-8440
Practice Address - Fax:281-331-2700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7348111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609318Medicare ID - Type Unspecified
TXU78019Medicare UPIN