Provider Demographics
NPI:1669625547
Name:UNIFIED CARE CENTER
Entity type:Organization
Organization Name:UNIFIED CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN-DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-633-6522
Mailing Address - Street 1:7913 LAVENDER
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:713-393-1997
Practice Address - Street 1:2408 S. VOSS
Practice Address - Street 2:E116
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057
Practice Address - Country:US
Practice Address - Phone:713-633-6522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253467163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty