Provider Demographics
NPI:1457542680
Name:CARE UNITED MEDICAL CENTERS OF AMERICA, LLP
Entity type:Organization
Organization Name:CARE UNITED MEDICAL CENTERS OF AMERICA, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-564-0044
Mailing Address - Street 1:375 N FM 548
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-6963
Mailing Address - Country:US
Mailing Address - Phone:972-564-0044
Mailing Address - Fax:972-564-0054
Practice Address - Street 1:375 N FM 548
Practice Address - Street 2:SUITE 100
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6963
Practice Address - Country:US
Practice Address - Phone:972-564-0044
Practice Address - Fax:972-564-0054
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE UNITED MEDICAL CENTERS OF AMERICA,
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0008PVOtherBLUE CROSS BLUE SHIELD