Provider Demographics
NPI:1972382372
Name:UNIVERSE PHYSICAL LLC
Entity type:Organization
Organization Name:UNIVERSE PHYSICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:MURAT
Authorized Official - Last Name:DAGLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-499-0422
Mailing Address - Street 1:11611 W AIRPORT BLVD STE H242
Mailing Address - Street 2:
Mailing Address - City:MEADOWS PLACE
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3042
Mailing Address - Country:US
Mailing Address - Phone:713-499-0422
Mailing Address - Fax:
Practice Address - Street 1:6320 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5906
Practice Address - Country:US
Practice Address - Phone:346-438-6179
Practice Address - Fax:346-438-6188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy