Provider Demographics
NPI:1447891114
Name:HIBISCUS WELLNESS CORPORATION
Entity type:Organization
Organization Name:HIBISCUS WELLNESS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:832-274-4078
Mailing Address - Street 1:8524 HIGHWAY 6 N # 477
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2103
Mailing Address - Country:US
Mailing Address - Phone:832-274-4078
Mailing Address - Fax:713-969-4868
Practice Address - Street 1:1607 HOUSTON AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-4137
Practice Address - Country:US
Practice Address - Phone:832-909-8031
Practice Address - Fax:713-969-4868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center