MEDICARE: HIBISCUS WELLNESS CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1447891114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIBISCUS WELLNESS CORPORATION

Provider Business Mailing Address
First Line	:	8524 HIGHWAY 6 N # 477
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2103
Country	:	US
Telephone Number	:	832-274-4078
Fax Number	:	713-969-4868

Provider Business Practice Location Address
First Line	:	1607 HOUSTON AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-4137
Country	:	US
Telephone Number	:	832-909-8031
Fax Number	:	713-969-4868

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. RENEE PALMER
Credential	:	FNP
Telephone Number	:	832-274-4078

Provider Enumeration Date	:	10/03/2019
Last Update Date	:	03/26/2021

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Directions to “HIBISCUS WELLNESS CORPORATION ” Practice Location

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