| NPI | 1700024312 |
|---|---|
| Doing Business As | TBT CO-OP CLINICS |
| Entity Type | Organization |
| Authorized Contact | DONALD H. MCCORMICK Trustee 832-202-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |