Provider Demographics
NPI:1790303196
Name:RESTORATIVE HEALTH, LLC
Entity Type:Organization
Organization Name:RESTORATIVE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCRIPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-489-7207
Mailing Address - Street 1:21510 PALARAMO CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-7164
Mailing Address - Country:US
Mailing Address - Phone:832-489-7207
Mailing Address - Fax:
Practice Address - Street 1:4654 HIGHWAY 6 N STE 308
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-2879
Practice Address - Country:US
Practice Address - Phone:832-489-7207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-12
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty