| NPI | 1164824199 |
|---|---|
| Doing Business As | TCP GRAND PARKWAY |
| Entity Type | Organization |
| Authorized Contact | LAURA VILLAR Provider Relations 832-824-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-10-29 |