MEDICARE: UNIVERSAL PHYSICIANS PA

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	171W00000X	Contractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548477805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL PHYSICIANS PA

Provider Business Mailing Address
First Line	:	3711 BRIARPARK DR STE 202
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-5246
Country	:	US
Telephone Number	:	713-893-3792
Fax Number	:	713-391-8374

Provider Business Practice Location Address
First Line	:	3711 BRIARPARK DR STE 202
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-5246
Country	:	US
Telephone Number	:	713-893-3792
Fax Number	:	713-391-8374

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LILY LAM
Credential	:
Telephone Number	:	713-893-3792

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	11/14/2018

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Directions to “UNIVERSAL PHYSICIANS PA ” Practice Location

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