Provider Demographics
NPI:1912295635
Name:UNIDOS HEALTHCARE, LLC
Entity Type:Organization
Organization Name:UNIDOS HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-283-1473
Mailing Address - Street 1:2507 S CAGE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-9868
Mailing Address - Country:US
Mailing Address - Phone:956-283-1473
Mailing Address - Fax:956-283-1470
Practice Address - Street 1:2507 S CAGE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-9868
Practice Address - Country:US
Practice Address - Phone:956-283-1473
Practice Address - Fax:956-283-1470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-15
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX017624OtherHHSC
TX1912295635Medicaid