Organization Active NPI

Unec Group Inc

  • Pulmonary Disease Physician
  • Fort Worth, TX
National Provider Identifier
1902084890
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K8745 Issued in TX
Legal business name
UNEC GROUP INC
Practice address
117 King Ranch CT
Fort Worth, TX 76108-9593
Phone
(817) 700-1471
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Noble Ezukanma, M.D.
Title
President
Phone
(817) 700-1471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X K8745 TX Primary

Addresses

Primary practice location

117 King Ranch CT
Fort Worth, TX 76108-9593

Mailing address

117 King Ranch CT
Fort Worth, TX 76108-9593
Phone (817) 700-1471

Other identifiers 1

IdentifierTypeStateIssuer
0010PVOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1902084890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 KING RANCH CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761089593",
            "telephone_number": "817-700-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 KING RANCH CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761089593",
            "telephone_number": "817-700-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNEC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "EZUKANMA",
        "authorized_official_first_name": "NOBLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-700-1471",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K8745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0010PV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.