NPI | 1235656752 |
---|---|
Doing Business As | TCUC - WESTGATE |
Entity Type | Organization |
Authorized Contact | LAURA VILLAR Provider Relatons 832-824-6631 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2017-08-25 |
Last Update Date | 2017-08-25 |