| NPI | 1255697306 |
|---|---|
| Doing Business As | TALL PINES FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALAN KOCH President 936-639-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2023-07-12 |