Provider Demographics
NPI:1548584709
Name:ROYAL OAKS WELLNESS, LLC
Entity Type:Organization
Organization Name:ROYAL OAKS WELLNESS, LLC
Other - Org Name:ROYAL OAKS WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KAPAVIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-556-9355
Mailing Address - Street 1:12906 RED OAK GLEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429
Mailing Address - Country:US
Mailing Address - Phone:281-556-9355
Mailing Address - Fax:281-596-9355
Practice Address - Street 1:14339 TORREY CHASE BLVD., SUITE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014
Practice Address - Country:US
Practice Address - Phone:281-556-9355
Practice Address - Fax:281-596-9355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-17
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty