Provider Demographics
NPI:1437422169
Name:UNIC CLINIC AND HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:UNIC CLINIC AND HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:U
Authorized Official - Last Name:AGOH
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:713-734-1697
Mailing Address - Street 1:8109 CULLEN BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77051-2064
Mailing Address - Country:US
Mailing Address - Phone:713-734-1697
Mailing Address - Fax:713-733-9316
Practice Address - Street 1:8109 CULLEN BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-2064
Practice Address - Country:US
Practice Address - Phone:713-734-1697
Practice Address - Fax:713-733-9316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-10
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7668208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty