Provider Demographics
NPI:1750550778
Name:KUNIK HEALTH, PA
Entity type:Organization
Organization Name:KUNIK HEALTH, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AMISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:972-333-3316
Mailing Address - Street 1:901 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-1851
Mailing Address - Country:US
Mailing Address - Phone:972-333-3316
Mailing Address - Fax:972-317-7043
Practice Address - Street 1:901 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-1851
Practice Address - Country:US
Practice Address - Phone:972-333-3316
Practice Address - Fax:972-317-7043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-23
Last Update Date:2008-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8411207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty