Provider Demographics
NPI:1518149772
Name:UNIGLOBE HEALTH SERVICES
Entity Type:Organization
Organization Name:UNIGLOBE HEALTH SERVICES
Other - Org Name:UNIGLOBE MEDICAL SUPPLY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:OKORIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-613-8400
Mailing Address - Street 1:3939 E HIGHWAY 80 STE 168
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-8105
Mailing Address - Country:US
Mailing Address - Phone:972-613-8400
Mailing Address - Fax:972-613-8406
Practice Address - Street 1:3939 E HIGHWAY 80 STE 168
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-8105
Practice Address - Country:US
Practice Address - Phone:972-613-8400
Practice Address - Fax:972-613-8406
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIGLOBE MEDICAL SUPPLY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-29
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0066402332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164544201Medicaid
TX164544202Medicaid
TX164544201Medicaid