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General NPI Number Information
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NPI Number | 1225038326
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Entity Type | Organization
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Legal Business Name | TCH PEDIATRIC ASSOCIATES, INC
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8080 N STADIUM DR 200
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City | HOUSTON
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State | TX
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Zip | 77054-1829
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Country | US
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Telephone | 832-824-6633
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Fax | 832-825-8901
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Provider Business Mailing Address
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Address Line | 8080 N STADIUM DR 200
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City | HOUSTON
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State | TX
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Zip | 77054-1829
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Country | US
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Telephone | 832-824-6633
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Fax | 832-825-8901
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Authorized Official
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Title or Position | CONTRACT ADMINISTRATOR
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Name | MS. ANNETTE M. GARZA
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Credential |
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Telephone | 832-824-6633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | TX
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