| NPI | 1063752970 |
|---|---|
| Former Legal Business Name | TRI COUNTY PRACTICE ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | CLAYTON CARSNER VP/COO 512-324-5846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2022-07-21 |