Provider Demographics
NPI:1528329182
Name:UNICK ANGELS TRANSPORT SERVICES
Entity type:Organization
Organization Name:UNICK ANGELS TRANSPORT SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SADE
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:ONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-201-2247
Mailing Address - Street 1:7111 HARWIN DR
Mailing Address - Street 2:SUITE 255C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2129
Mailing Address - Country:US
Mailing Address - Phone:832-487-9795
Mailing Address - Fax:832-487-9806
Practice Address - Street 1:7111 HARWIN DR
Practice Address - Street 2:SUITE 255C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2129
Practice Address - Country:US
Practice Address - Phone:832-487-9795
Practice Address - Fax:832-487-9806
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNICK ANGELS HOME HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197225901Medicaid