| NPI | 1922331263 |
|---|---|
| Doing Business As | TBT CO-OP CLINICS |
| Entity Type | Organization |
| Authorized Contact | JASON TAYLOR HUGHES Credentialing Manager 713-295-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |