MEDICARE: TP-ACO, L.L.C.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207K00000X	Allergy & Immunology Physician
2	207N00000X	Dermatology Physician
3	207Q00000X	Family Medicine Physician
4	207RG0100X	Gastroenterology Physician
5	207RI0200X	Infectious Disease Physician
6	207RP1001X	Pulmonary Disease Physician
7	207V00000X	Obstetrics & Gynecology Physician
8	207X00000X	Orthopaedic Surgery Physician
9	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician
10	2085R0202X	Diagnostic Radiology Physician
11	208800000X	Urology Physician
12	208M00000X	Hospitalist Physician
13	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1801293816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TP-ACO, L.L.C.

Provider Business Mailing Address
First Line	:	35055 HIGHWAY 16
Second Line	:	SUITE 2H
City	:	DENHAM SPRING
State	:	LA
Zip	:	70706-1535
Country	:	US
Telephone Number	:	225-243-6974
Fax Number	:

Provider Business Practice Location Address
First Line	:	35055 HIGHWAY 16
Second Line	:	SUITE 2H
City	:	DENHAM SPRING
State	:	LA
Zip	:	70706-1535
Country	:	US
Telephone Number	:	225-243-6974
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. JOHN WOODS
Credential	:	CPA
Telephone Number	:	225-243-6974

Provider Enumeration Date	:	11/20/2014
Last Update Date	:	11/20/2014

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