Provider Demographics
NPI:1033959135
Name:FLOURISH HEALTH LLC
Entity type:Organization
Organization Name:FLOURISH HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:512-640-3492
Mailing Address - Street 1:2501 W WILLIAM CANNON DR STE 207
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5255
Mailing Address - Country:US
Mailing Address - Phone:512-640-3492
Mailing Address - Fax:833-973-1247
Practice Address - Street 1:2501 W WILLIAM CANNON DR STE 207
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5255
Practice Address - Country:US
Practice Address - Phone:512-640-3492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLOURISH HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-28
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care