Healthcare Provider Details

I. General information

NPI: 1821267899
Provider Name (Legal Business Name): UNIMED HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 07/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12000 RICHMOND AVE SUITE 330
HOUSTON TX
77082-2431
US

IV. Provider business mailing address

12000 RICHMOND AVE SUITE 330
HOUSTON TX
77082-2431
US

V. Phone/Fax

Practice location:
  • Phone: 713-334-0530
  • Fax: 713-334-0552
Mailing address:
  • Phone: 713-334-0530
  • Fax: 713-334-0552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License NumberG2147
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number13025
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number7825
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1134849
License Number StateTX
# 5
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7825
License Number StateTX

VIII. Authorized Official

Name: DR. PARVIN N. AZHDARINIA
Title or Position: OWNER
Credential: D.C.
Phone: 713-334-0530