Provider Demographics
NPI:1841559929
Name:UNLIMITED PATIENT CARE CENTER PLLC
Entity Type:Organization
Organization Name:UNLIMITED PATIENT CARE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-943-2823
Mailing Address - Street 1:22 PICASSO PATH PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2047
Mailing Address - Country:US
Mailing Address - Phone:877-943-2823
Mailing Address - Fax:866-900-6098
Practice Address - Street 1:22 PICASSO PATH PL
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2047
Practice Address - Country:US
Practice Address - Phone:877-943-2823
Practice Address - Fax:866-900-6098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty