Provider Type Icon

KINGSLAND ADVANCED HEALTH & CHIROPRACTIC CLINIC NPI 1679852974


NPI Information

NPI: 1679852974
Provider Name: KINGSLAND ADVANCED HEALTH & CHIROPRACTIC CLINIC

Doing Business As: VICTORY DISTRIBUTORS, LLC

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
6250 WESTPARK DR STE 319
HOUSTON, TX
ZIP 77057
Phone: (832) 667-8952
Get Directions

KINGSLAND ADVANCED HEALTH & CHIROPRACTIC CLINIC is a point of service in Houston, TX. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. KINGSLAND ADVANCED HEALTH & CHIROPRACTIC CLINIC NPI is 1679852974. The provider is registered as an organization entity type.
The provider Is Doing Business As Victory Distributors, Llc.

The provider's business location address is:

6250 WESTPARK DR STE 319
HOUSTON, TX
ZIP 77057-381
Phone: (832) 667-8952
Fax: (832) 667-8485

The provider's authorized official is Richard Clyde Sauls .
The authorized official title is President and has the following contact phone number (832) 276-7600.

The enumeration date for this NPI number is 8/4/2011 and was last updated on 8/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceF009193TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.