Shook Wellness Center, LLC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

SHOOK WELLNESS CENTER, LLC

Practice address

14703 Emerald Cypress LN
Cypress, TX 77429-4612

Phone

(281) 631-5296

NPI assigned

Feb 19, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachelle BoudreauxNPI 1235554817

Title

Owner

Phone

(832) 302-7800

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachelle Boudreaux

  • Student in an Organized Health Care Education/Training Program
  • Cypress, TX
  • NPI 1235554817
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1306261987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14703 EMERALD CYPRESS LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14703 EMERALD CYPRESS LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294612",
            "telephone_number": "281-631-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOOK WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-302-7800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashmi M Sheshadri, M.D.
• Nicole Hoi Man Sheung, DO
• Lulian Shih, OD
• Shining Stars Healthcare Services LLC
• Shefiu Shonibare
• Alyssa Marie Short, DO
• Sharlene Shuler, LMT
• Haley Shults
• Marina A. Siddiqi, B.D.S., M.S.D., M.S.
• Sameer Siddique, MD

• Student in an Organized Health Care Education/Training Program in Cypress, TX
• Providers in Cypress, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.