NPI | 1538790613 |
---|---|
Doing Business As | TCP - CAPITAL NORTH |
Entity Type | Organization |
Authorized Contact | LAURA VILLAR Tcp Cbo Manager 832-824-6631 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2020-01-28 |
Last Update Date | 2020-01-28 |