| NPI | 1447631007 |
|---|---|
| Doing Business As | TCP DR. LEASS |
| Entity Type | Organization |
| Authorized Contact | LAURA VILLAR Provider Relations Representative 832-824-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |