Organization Active NPI

Unity Family Clinic PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1508169772
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNITY FAMILY CLINIC PA
Practice address
3003 S Loop W
Suite 204
Houston, TX 77054-1301
Phone
(713) 796-9500
Fax
(713) 796-9504
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Okezie S Aguoru, MDNPI 1063677672
Title
President
Phone
(713) 796-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3003 S Loop W
Suite 204
Houston, TX 77054-1301

Mailing address

PO Box 1626
Cypress, TX 77410-1626
Phone (713) 796-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110422000232 TX Part B Supplier - Clinic/Group Practice 8921283631 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1076690Unity Family Clinic PA3003 South Loop W #204, Houston, TX 77054Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1508169772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1626",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774101626",
            "telephone_number": "713-796-9500",
            "fax_number": "713-796-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S LOOP W",
            "address_2": "SUITE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541301",
            "telephone_number": "713-796-9500",
            "fax_number": "713-796-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY FAMILY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "AGUORU",
        "authorized_official_first_name": "OKEZIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-796-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.