Healthcare Provider Details

I. General information

NPI: 1366557431
Provider Name (Legal Business Name): VERONICA I UNEGBU CRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 HOLCOMB
HOUSTON TX
77030
US

IV. Provider business mailing address

7439 GATEBRIAR CT
MISSOURI CITY TX
77489-3364
US

V. Phone/Fax

Practice location:
  • Phone: 713-791-1414
  • Fax:
Mailing address:
  • Phone: 281-437-3698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278C0205X
TaxonomyCritical Care Certified Respiratory Therapist
License Number61202
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: