Provider Demographics
NPI:1649650011
Name:UFIRST HEALTHCARE LLC
Entity type:Organization
Organization Name:UFIRST HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULITO
Authorized Official - Middle Name:P
Authorized Official - Last Name:UY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-418-2170
Mailing Address - Street 1:PO BOX 50046
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-0046
Mailing Address - Country:US
Mailing Address - Phone:806-418-2170
Mailing Address - Fax:806-418-2157
Practice Address - Street 1:201 WESTGATE PKWY UNIT A
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1109
Practice Address - Country:US
Practice Address - Phone:806-418-2170
Practice Address - Fax:806-418-2157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1710261QP2300X, 171M00000X
TXAP117567261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX339895001Medicaid
TX130545013Medicaid
TX130545013Medicaid
TX264814ZGLQMedicare UPIN