MEDICARE: EUNIVERSAL INVESTMENT GROUP INC

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	3416L0300X	Land Ambulance	1000288	TX

General Provider Information

NPI Number	:	1245500222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUNIVERSAL INVESTMENT GROUP INC

Provider Business Mailing Address
First Line	:	4705 HIGHWAY 36 S
Second Line	:	3
City	:	ROSENBERG
State	:	TX
Zip	:	77471-9255
Country	:	US
Telephone Number	:	713-261-3260
Fax Number	:	832-363-3352

Provider Business Practice Location Address
First Line	:	4705 HIGHWAY 36 S
Second Line	:	3
City	:	ROSENBERG
State	:	TX
Zip	:	77471-9255
Country	:	US
Telephone Number	:	713-261-3260
Fax Number	:	832-363-3352

Authorized Official
Title or Position	:	OWNER
Name	:	IFECHUKWUDENY OKWUOYIBO
Credential	:
Telephone Number	:	713-261-3260

Provider Enumeration Date	:	01/06/2012
Last Update Date	:	01/11/2012

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