Provider Demographics
NPI:1770020752
Name:HEALTHWISE HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:HEALTHWISE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUDOLPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-463-9727
Mailing Address - Street 1:2424 W. LOOP S
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-4208
Mailing Address - Country:US
Mailing Address - Phone:832-463-9727
Mailing Address - Fax:832-218-5179
Practice Address - Street 1:1300 POST OAK BLVD
Practice Address - Street 2:SUITE 1600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3043
Practice Address - Country:US
Practice Address - Phone:832-463-9727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies