| NPI | 1770849184 |
|---|---|
| Doing Business As | TALL PINES FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | REBEKAH W KOCH President 936-639-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P1888) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |