Provider Demographics
NPI:1174009385
Name:UNIVERSAL CLINICAL CARE LLC.
Entity type:Organization
Organization Name:UNIVERSAL CLINICAL CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AMAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:714-322-9799
Mailing Address - Street 1:2502 VIA NICOLA APT 3424
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-5587
Mailing Address - Country:US
Mailing Address - Phone:714-322-9799
Mailing Address - Fax:714-242-3404
Practice Address - Street 1:2502 VIA NICOLA APT 3424
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-5587
Practice Address - Country:US
Practice Address - Phone:714-322-9799
Practice Address - Fax:714-242-3404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-11
Last Update Date:2023-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ8994207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty