Provider Demographics
NPI:1861677106
Name:HEALTHY BLADDER SOLUTIONS, LLC
Entity Type:Organization
Organization Name:HEALTHY BLADDER SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RINKUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, GNP-BC
Authorized Official - Phone:713-303-7704
Mailing Address - Street 1:2617C W HOLCOMBE BLVD
Mailing Address - Street 2:#102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1601
Mailing Address - Country:US
Mailing Address - Phone:713-303-7704
Mailing Address - Fax:
Practice Address - Street 1:2617C W HOLCOMBE BLVD
Practice Address - Street 2:#102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1601
Practice Address - Country:US
Practice Address - Phone:713-303-7704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-06
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX522459363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y971Medicare PIN