MEDICARE: DR. TRICIA ANN KAPAVIK D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN1001X	Nutrition Chiropractor	113832	TX
2	111N00000X	Chiropractor	11383	TX

General Provider Information

NPI Number	:	1598089757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRICIA ANN KAPAVIK D.C.

Provider Business Mailing Address
First Line	:	12906 RED OAK GLEN DR
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-5180
Country	:	US
Telephone Number	:	281-556-9355
Fax Number	:

Provider Business Practice Location Address
First Line	:	14339 TORREY CHASE BLVD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1665
Country	:	US
Telephone Number	:	281-556-9355
Fax Number	:	281-596-9355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2010
Last Update Date	:	10/19/2023

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