Provider Demographics
NPI:1003547407
Name:TENDERHEART HEALTH OUTCOMES, INC.
Entity Type:Organization
Organization Name:TENDERHEART HEALTH OUTCOMES, INC.
Other - Org Name:LONGHORN HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:LC
Authorized Official - Middle Name:
Authorized Official - Last Name:WADLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-217-5198
Mailing Address - Street 1:1701 DIRECTORS BLVD STE 520
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-1105
Mailing Address - Country:US
Mailing Address - Phone:877-394-1860
Mailing Address - Fax:
Practice Address - Street 1:304 REGENCY CT
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-1175
Practice Address - Country:US
Practice Address - Phone:877-394-1860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies