| NPI | 1861492654 |
|---|---|
| Doing Business As | TCP GRAND PARKWAY |
| Entity Type | Organization |
| Authorized Contact | MIRIAM COMPTON Provider Relations Representative 832-824-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2021-08-16 |