Provider Demographics
NPI:1154469948
Name:DILEK WISE INC
Entity Type:Organization
Organization Name:DILEK WISE INC
Other - Org Name:DILEK WISE PHD
Other - Org Type:Other Name
Authorized Official - Title/Position:DR PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DILEK
Authorized Official - Middle Name:
Authorized Official - Last Name:WISE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-294-8090
Mailing Address - Street 1:1812 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3519
Mailing Address - Country:US
Mailing Address - Phone:713-294-8090
Mailing Address - Fax:713-467-6532
Practice Address - Street 1:1458 CAMPBELL RD
Practice Address - Street 2:STE 250A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055
Practice Address - Country:US
Practice Address - Phone:713-294-8090
Practice Address - Fax:713-467-6532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00301BOtherBC/BS
TX242722OtherCOMPSYCH