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Organization
WAVE HEALTHCARE
Active
Organization
WAVE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY GRAY (OWNER)
(210) 593-9283
Entity
Organization
Contact information
Practice address
121 INTERPARK BLVD STE 300, SAN ANTONIO, TX 78216-1852
(210) 593-9283
(210) 593-9284
Mailing address
121 INTERPARK BLVD STE 300, SAN ANTONIO, TX 78216-1852
(210) 593-9283
(210) 593-9284
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
2279H0200X
Home Health Registered Respiratory Therapist
—
NULL
2279H0200X
Home Health Registered Respiratory Therapist
—
—
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
—
NULL
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
09/06/2007
Last updated
08/28/2025
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