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NPI Code Detail

MEDICARE: TCH PEDIATRIC ASSOCIATES, INC

MEDICARE: TCH PEDIATRIC ASSOCIATES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1457451635
Entity Type Code : Organization
Provider Name (Legal Business Name) : TCH PEDIATRIC ASSOCIATES, INC
Provider Business Mailing Address
First Line : 8080 N STADIUM DR
Second Line : SUITE 200
City : HOUSTON
State : TX
Zip : 77054-1829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18350 TIMBER FOREST DR
Second Line : SUITE 100
City : ATASCOCITA
State : TX
Zip : 77346-2957
Country : US
Telephone Number : 281-348-7575
Fax Number :
Authorized Official
Title or Position : PROVIDER RELATIONS REP
Name : MIRIAM COMPTON
Credential :
Telephone Number : 832-824-6602
Provider Enumeration Date : 09/25/2006
Last Update Date : 08/22/2020

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Directions to “TCH PEDIATRIC ASSOCIATES, INC ” Practice Location

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