Provider Demographics
NPI:1164435384
Name:UNIVERSAL MED-HEALTH CENTER, LLC
Entity Type:Organization
Organization Name:UNIVERSAL MED-HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:KULJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-272-6688
Mailing Address - Street 1:9630 CLAREWOOD DR
Mailing Address - Street 2:SUITE A1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3512
Mailing Address - Country:US
Mailing Address - Phone:713-272-6688
Mailing Address - Fax:713-271-6689
Practice Address - Street 1:9630 CLAREWOOD DR
Practice Address - Street 2:SUITE A1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3512
Practice Address - Country:US
Practice Address - Phone:713-272-6688
Practice Address - Fax:713-271-6689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0202174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX41NHOtherBLUE CROSS BLUE SHIELD
TXH50451Medicare UPIN
TX41NHOtherBLUE CROSS BLUE SHIELD