Provider Demographics
NPI:1124854690
Name:UNIQUE MEDICAL SERVICES CORPORATION
Entity type:Organization
Organization Name:UNIQUE MEDICAL SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:MISS
Authorized Official - First Name:DAMARI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUARTE RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:281-969-5202
Mailing Address - Street 1:3802 CARTWRIGHT RD STE 103
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2435
Mailing Address - Country:US
Mailing Address - Phone:281-969-5202
Mailing Address - Fax:281-969-7511
Practice Address - Street 1:3802 CARTWRIGHT RD STE 103
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2435
Practice Address - Country:US
Practice Address - Phone:281-969-5202
Practice Address - Fax:281-969-7511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty