Organization
FAITH WORKS HEALTH AND WELLNESS NETWORK
Active
Parent organization
BRIDGE RESEARCH FOUNDATION INCORPORATED
Other names
BRIDGE RESEARCH FOUNDATION INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIDGE RESEARCH FOUNDATION INCORPORATED
Authorized official
DR. RICHARD EARL WILSON II ED. D (CEO/PRESIDENT)
(713) 884-0884
Entity
Organization
Contact information
Practice address
4112 AUSTIN ST, HOUSTON, TX 77004-4813
(713) 884-0884
(713) 583-5877
Mailing address
4112 AUSTIN ST, HOUSTON, TX 77004-4813
(713) 884-0884
(713) 583-5877
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
230335
TX
163W00000X
Registered Nurse
230335
TX
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
Primary
K1282
TX
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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