East Texas Hydration Solutions LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

EAST TEXAS HYDRATION SOLUTIONS LLC

Doing business as

Eastex Hydration Solutions

Practice address

20125 Plantation Creek Dr
Porter, TX 77365-6953

Phone

(832) 270-6737

NPI assigned

Aug 9, 2024

Last updated

Aug 9, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph William Gadus III, IV HYDRATION

Title

Owner/Paramedic

Phone

(832) 270-6737

Specialties & licenses 1

Addresses

Other names 1

• EASTEX HYDRATION SOLUTIONS Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1265263479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20125 PLANTATION CREEK DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773656953",
            "telephone_number": "832-270-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20125 PLANTATION CREEK DR",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773656953",
            "telephone_number": "832-270-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS HYDRATION SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "GADUS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PARAMEDIC",
        "authorized_official_telephone_number": "832-270-6737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "IV HYDRATION"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTEX HYDRATION SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health & Wellness Coach in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.