NPI | 1063816155 |
---|---|
Former Legal Business Name | TKR GROUP, INC. |
Entity Type | Organization |
Authorized Contact | TIMOTHY R LAPHAM Owner/President 703-876-2710 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101240684) |
Enumeration Date | 2014-10-17 |
Last Update Date | 2019-03-08 |