# WAVE HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477748119
- **Authorized official:** MR. RODNEY GRAY (OWNER)
- **Authorized official phone:** (210) 593-9283

## Contact information

- **Practice address:** 121 INTERPARK BLVD STE 300, SAN ANTONIO, TX 78216-1852
- **Practice address phone:** (210) 593-9283
- **Practice address fax:** (210) 593-9284
- **Mailing address:** 121 INTERPARK BLVD STE 300, SAN ANTONIO, TX 78216-1852
- **Mailing address phone:** (210) 593-9283
- **Mailing address fax:** (210) 593-9284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 08/28/2025