Provider Demographics
NPI:1538298799
Name:UNITED HEALTH COMPONENTS
Entity Type:Organization
Organization Name:UNITED HEALTH COMPONENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-365-1759
Mailing Address - Street 1:PO BOX 852835
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75185-2835
Mailing Address - Country:US
Mailing Address - Phone:972-365-1759
Mailing Address - Fax:972-463-9176
Practice Address - Street 1:3006 CARLA DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-5770
Practice Address - Country:US
Practice Address - Phone:972-365-1759
Practice Address - Fax:972-463-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies