SHOOK WELLNESS CENTER LLC NPI 1306261987

NPI Information

NPI: 1306261987
Provider Name: SHOOK WELLNESS CENTER, LLC
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Organization
Address:
14703 EMERALD CYPRESS LN
CYPRESS, TX
ZIP 77429
Phone: (281) 631-5296
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SHOOK WELLNESS CENTER, LLC is a student in an organized health care education training program in Cypress, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. SHOOK WELLNESS CENTER, LLC NPI is 1306261987. The provider is registered as an organization entity type.

The provider's business location address is:

14703 EMERALD CYPRESS LN
CYPRESS, TX
ZIP 77429-612
Phone: (281) 631-5296

The provider's authorized official is Rachelle Boudreaux .
The authorized official title is Owner and has the following contact phone number (832) 302-7800.

The enumeration date for this NPI number is 2/19/2014 and was last updated on 2/19/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health			TEXAS	No
2	390200000X	Student in an Organized Health Care Education/Training Program			TEXAS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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