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General NPI Number Information
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NPI Number | 1457215956
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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 | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3201 UNIVERSITY DR E
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City | BRYAN
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State | TX
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Zip | 77802-3475
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Country | US
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Telephone | 832-824-2999
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 UNIVERSITY DR E
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City | BRYAN
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State | TX
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Zip | 77802-3475
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER RELATIONS
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Name | KELLEY WHITE
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Credential |
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Telephone | 832-828-3660
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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 |
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