UC MANAGEMENT GROUP LLC (NPI# 1457962540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457962540 |
| Entity Type | Organization |
| Organization Name | UC MANAGEMENT GROUP LLC |
| Practice Address |
1908 N Laurent St Ste 410 Victoria TX 77901 |
| Mailing Address |
1908 N Laurent St Ste 410 Victoria TX 77901-5469 |
| Practice Telephone | 4699645277 |
| Mailing Telephone | 3615720333 |
| Mailing Fax Number | 3615728518 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | MARK MCKINZEY (PRINCIPAL OWNER) |
| Authorized Official Telephone | 4699645277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| P3 CARE | Doing Business As Name - Organization |
| Street Address |
1908 N LAURENT ST STE 410 |
| City | VICTORIA |
| State | TX |
| Zip Code | 77901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1871058099 | Still Water Springs | Counselor | 103 East Airline Road, Suite 3, Victoria, TX 77901 | 2019-02-01 |
| 1811488349 | Victoria Np Clinic Pllc | Nurse Practitioner | 606 E. Nueces St, Victoria, TX 77901 | 2018-05-21 |
| 1003324823 | Raul Hernandez | Physical Therapy Assistant | 101 W Goodwin Ave Ste 600, Victoria, TX 77901 | 2018-01-15 |
| 1568916153 | Bdcv / Vpsc Associates, LLC | Dietitian, Registered | 4206 N Ben Jordan Street, Victoria, TX 77901 | 2016-08-11 |
| 1801349535 | James H Jarrett Jr. | Dietitian, Registered | 4206 N. Ben Jordan Street, Victoria, TX 77901 | 2016-07-29 |
| 1508218736 | Philip Henneke | Case Manager/Care Coordinator | 1802 N. Laurent, Victoria, TX 77901 | 2016-07-12 |
| 1194084145 | Kelly E. Rogers | Speech-Language Pathologist | 2903 B. Azalea St., Victoria, TX 77901 | 2012-05-11 |
| 1023393790 | Frederick B Niegos Mdpa | Internal Medicine | 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 | 2011-10-13 |
| 1689960734 | Khiem Vu Dopa | Internal Medicine | 2700 Citizens Plaza, Suite 400, Victoria, TX 77901 | 2011-06-27 |
| Find all providers in zip 77901 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295725802 | Lewis William Bridgforth | General Practice | 1418 6th St, Victoria, VA 23974-0728 | 2005-10-25 |
| 1518283175 | Laura Lynn Crafton | General Practice | 4206 Retama Cir, Victoria, TX 77901-2765 | 2010-04-07 |
| 1992781306 | Rouchdy Shenouda | General Practice | 3402 Cherry St, Victoria, TX 77901-0921 | 2005-12-16 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.