Provider Demographics
NPI:1033085634
Name:WHOLISTIC IMAGING LLC
Entity type:Organization
Organization Name:WHOLISTIC IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NP PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, FNP-C
Authorized Official - Phone:210-279-9579
Mailing Address - Street 1:28715 HOWARDS BULL
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS RANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78015-4338
Mailing Address - Country:US
Mailing Address - Phone:210-279-9579
Mailing Address - Fax:210-898-9816
Practice Address - Street 1:28715 HOWARDS BULL
Practice Address - Street 2:
Practice Address - City:FAIR OAKS RANCH
Practice Address - State:TX
Practice Address - Zip Code:78015-4338
Practice Address - Country:US
Practice Address - Phone:210-279-9579
Practice Address - Fax:210-898-9816
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHOLISTIC WOUND CARE & WELLNESS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty