Provider Demographics
NPI:1598089757
Name:KAPAVIK, TRICIA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:ANN
Last Name:KAPAVIK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12906 RED OAK GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5180
Mailing Address - Country:US
Mailing Address - Phone:281-556-9355
Mailing Address - Fax:
Practice Address - Street 1:14339 TORREY CHASE BLVD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1665
Practice Address - Country:US
Practice Address - Phone:281-556-9355
Practice Address - Fax:281-596-9355
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113832111NN1001X
TX11383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition