Provider Demographics
NPI:1316767494
Name:FORWARD HOLISTIC HEALTH & WELLNESS
Entity type:Organization
Organization Name:FORWARD HOLISTIC HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSALINDA
Authorized Official - Middle Name:ALVAREZ
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-202-0787
Mailing Address - Street 1:22100 PARK WESTHEIMER BLVD APT 122
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4212
Mailing Address - Country:US
Mailing Address - Phone:361-522-0031
Mailing Address - Fax:
Practice Address - Street 1:1816 E HARRISON AVE STE A
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7473
Practice Address - Country:US
Practice Address - Phone:956-202-0787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care