Provider Demographics
NPI:1992743629
Name:UNITED LIFECARE, P.A.
Entity type:Organization
Organization Name:UNITED LIFECARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANUEL
Authorized Official - Middle Name:MISGHINA
Authorized Official - Last Name:ABREHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-873-8100
Mailing Address - Street 1:17030 NANES DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2503
Mailing Address - Country:US
Mailing Address - Phone:281-873-8100
Mailing Address - Fax:281-873-8101
Practice Address - Street 1:17030 NANES DRIVE
Practice Address - Street 2:SUITE109
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090
Practice Address - Country:US
Practice Address - Phone:281-873-8100
Practice Address - Fax:281-873-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2511207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI3772Medicare UPIN