Provider Demographics
NPI:1174297956
Name:UNIQ GROUP INC
Entity type:Organization
Organization Name:UNIQ GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUDU
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:713-505-3300
Mailing Address - Street 1:10103 FONDREN RD STE 215
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4595
Mailing Address - Country:US
Mailing Address - Phone:713-505-3300
Mailing Address - Fax:713-575-5060
Practice Address - Street 1:10103 FONDREN RD
Practice Address - Street 2:STE 215
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-7423
Practice Address - Country:US
Practice Address - Phone:713-505-3300
Practice Address - Fax:135-755-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX251E00000XMedicaid
TX1578006482Medicaid
TXS000PP4900913Medicaid
TX32055345089Medicaid