Provider Demographics
NPI:1497443865
Name:WHOLENESS HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:WHOLENESS HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:NKWANYUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-412-3067
Mailing Address - Street 1:21023 TRANQUIL SHORES DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4119
Mailing Address - Country:US
Mailing Address - Phone:817-412-3067
Mailing Address - Fax:
Practice Address - Street 1:21023 TRANQUIL SHORES DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4119
Practice Address - Country:US
Practice Address - Phone:817-412-3067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty