NPI | 1093815227 |
---|---|
Doing Business As | TCPA FANNIN |
Entity Type | Organization |
Authorized Contact | MIRIAM COMPTON Provider Relations Rep 832-824-6602 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2006-09-25 |
Last Update Date | 2020-08-22 |