Provider Demographics
NPI:1790730018
Name:THERAPEUTIC SOLUTIONS, INC.
Entity Type:Organization
Organization Name:THERAPEUTIC SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:SHANE
Authorized Official - Last Name:BURKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-922-5453
Mailing Address - Street 1:907 BAY STAR BLVD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-1531
Mailing Address - Country:US
Mailing Address - Phone:281-922-5453
Mailing Address - Fax:281-922-5450
Practice Address - Street 1:907 BAY STAR BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-1531
Practice Address - Country:US
Practice Address - Phone:281-922-5453
Practice Address - Fax:281-922-5450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0044264332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1326340001Medicare ID - Type Unspecified