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General NPI Number Information
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NPI Number | 1477312635
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Entity Type | Organization
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Legal Business Name | TCH PEDIATRICS INC
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 9700 BISSONNET ST STE 1000
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City | HOUSTON
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State | TX
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Zip | 77036-8056
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Country | US
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Telephone | 832-828-1005
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Fax | 832-825-2064
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Provider Business Mailing Address
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Address Line | 2040 COLQUITT ST APT A
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City | HOUSTON
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State | TX
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Zip | 77098-3480
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Country | US
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Telephone | 713-294-7928
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LAURA VILLAR
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Credential |
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Telephone | 713-294-7928
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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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