MEDICARE: UNITED MED HEALTH CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center		GA

General Provider Information

NPI Number	:	1013451798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED MED HEALTH CORP

Provider Business Mailing Address
First Line	:	1400 BROADFIELD BLVD
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77084-5163
Country	:	US
Telephone Number	:	737-333-9534
Fax Number	:	737-204-0272

Provider Business Practice Location Address
First Line	:	1400 BROADFIELD BLVD
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77084-5163
Country	:	US
Telephone Number	:	737-333-9534
Fax Number	:	737-204-0272

Authorized Official
Title or Position	:	OWNER
Name	:	REINIER QUEVEDO
Credential	:
Telephone Number	:	737-333-9534

Provider Enumeration Date	:	12/14/2016
Last Update Date	:	12/14/2016

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Directions to “UNITED MED HEALTH CORP ” Practice Location

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