Kingsland Advanced Health & Chiropractic Clinic

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

F009193 Issued in TX

Legal business name

KINGSLAND ADVANCED HEALTH & CHIROPRACTIC CLINIC

Doing business as

Victory Distributors, LLC

Practice address

6250 Westpark Dr Ste 319
Houston, TX 77057-7381

Phone

(832) 667-8952

Fax

(832) 667-8485

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Richard Clyde Sauls

Title

President

Phone

(832) 276-7600

Specialties & licenses 1

Addresses

Other names 1

• Victory Distributors, LLC Doing business as

Locations

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1679852974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 WESTPARK DR STE 319",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577381",
            "telephone_number": "832-667-8952",
            "fax_number": "832-667-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 WESTPARK DR STE 319",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577381",
            "telephone_number": "832-667-8952",
            "fax_number": "832-667-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLAND ADVANCED HEALTH & CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "SAULS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CLYDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-276-7600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "F009193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Distributors, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kinghaven Medical System Inc
• Kinghaven Therapy Services LLC (Kinghaven Therapy Services)
• Shannon Frances Kingrey, PT, DPT
• Kingsarm Healthcare LLC
• Kingsbridge RX Pharmacy Inc (KB Medical Supply)
• Kingsley Pharmacy
• Thora Ansell Kingsley, LMSW
• Kingsmith Medical Supply LLC
• Kingspoint Health Care Services, Inc.
• Kingspoint Home Visiting Physicians

• Point of Service in Houston, TX
• Providers in Houston, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.