| NPI | 1861712804 |
|---|---|
| Doing Business As | TCPA SHADOW CREEK RANCH |
| Entity Type | Organization |
| Authorized Contact | MIRIAM COMPTON Provider Relations Rep 832-824-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |