Provider Demographics
NPI:1124386859
Name:KNOWLES WELLNESS SOLUTIONS
Entity Type:Organization
Organization Name:KNOWLES WELLNESS SOLUTIONS
Other - Org Name:RICKY KNOWLES HAIR AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:KIMBERLY
Authorized Official - Last Name:ANDERSON-KNOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-623-4247
Mailing Address - Street 1:3106 MELODY PEAK LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-2553
Mailing Address - Country:US
Mailing Address - Phone:713-623-4247
Mailing Address - Fax:713-871-0945
Practice Address - Street 1:4141 SOUTHWEST FWY
Practice Address - Street 2:SUITE #315
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7313
Practice Address - Country:US
Practice Address - Phone:713-623-4247
Practice Address - Fax:713-871-0945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies