Provider Demographics
NPI:1700989100
Name:ADDY AND UNITE MD
Entity Type:Organization
Organization Name:ADDY AND UNITE MD
Other - Org Name:TREEHOUSE PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANSELMO
Authorized Official - Middle Name:
Authorized Official - Last Name:UNITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-255-8868
Mailing Address - Street 1:15930 S GREAT OAKS DR
Mailing Address - Street 2:B
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5526
Mailing Address - Country:US
Mailing Address - Phone:512-255-8868
Mailing Address - Fax:512-255-8869
Practice Address - Street 1:15930 S GREAT OAKS DR
Practice Address - Street 2:BUILDING B
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5526
Practice Address - Country:US
Practice Address - Phone:512-255-8868
Practice Address - Fax:512-255-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK43392080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty