Provider Demographics
NPI:1558424564
Name:AMERICANA INJURY CLINIC
Entity Type:Organization
Organization Name:AMERICANA INJURY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:UNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-480-6254
Mailing Address - Street 1:8015 GULF FWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-3621
Mailing Address - Country:US
Mailing Address - Phone:713-480-6254
Mailing Address - Fax:713-644-5855
Practice Address - Street 1:8015 GULF FWY
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-3621
Practice Address - Country:US
Practice Address - Phone:713-480-6254
Practice Address - Fax:713-644-5855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8188174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX IDENTIFICATION NUMBER