Provider Demographics
NPI:1114360617
Name:ULANOSKI ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:ULANOSKI ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:ULANOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-304-0091
Mailing Address - Street 1:150 S DENTON TAP RD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-3364
Mailing Address - Country:US
Mailing Address - Phone:972-304-0091
Mailing Address - Fax:972-393-0959
Practice Address - Street 1:150 S DENTON TAP RD
Practice Address - Street 2:SUITE 116
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-3364
Practice Address - Country:US
Practice Address - Phone:972-304-0091
Practice Address - Fax:972-393-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2811208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG51701Medicare UPIN
TXG35009Medicare UPIN