Provider Demographics
NPI:1831570571
Name:UNICO HEALTHCARE MANAGEMENT GROUP
Entity type:Organization
Organization Name:UNICO HEALTHCARE MANAGEMENT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-669-1404
Mailing Address - Street 1:2541 S IH 35
Mailing Address - Street 2:STE 200-140
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-7360
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2541 S IH 35
Practice Address - Street 2:STE 200-140
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-7360
Practice Address - Country:US
Practice Address - Phone:512-669-1404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31027261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX31027OtherTEXAS DENTAL LICENSE