Provider Demographics
NPI:1679757314
Name:TRIK ENTERPRISES
Entity type:Organization
Organization Name:TRIK ENTERPRISES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KIRT
Authorized Official - Middle Name:
Authorized Official - Last Name:REPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-831-6290
Mailing Address - Street 1:PO BOX 9973
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-6973
Mailing Address - Country:US
Mailing Address - Phone:281-831-6290
Mailing Address - Fax:281-419-2464
Practice Address - Street 1:10 RED ADLER PL
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2865
Practice Address - Country:US
Practice Address - Phone:281-831-6290
Practice Address - Fax:281-419-2464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8323111NN0400X
LA1329111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGOtherPENDING