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NPI Code Detail

MEDICARE: TCG CLINIC, LLC

MEDICARE: TCG CLINIC, LLC
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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1164854428
Entity Type Code : Organization
Provider Name (Legal Business Name) : TCG CLINIC, LLC
Provider Business Mailing Address
First Line : 9220 KIRBY DR
Second Line : SUITE 1000
City : HOUSTON
State : TX
Zip : 77054-2533
Country : US
Telephone Number : 713-383-2100
Fax Number : 713-383-2113
Provider Business Practice Location Address
First Line : 9220 KIRBY DR
Second Line : SUITE 1000
City : HOUSTON
State : TX
Zip : 77054-2533
Country : US
Telephone Number : 713-383-2100
Fax Number : 713-383-2113
Authorized Official
Title or Position : CIO
Name : DAVID CARL GERKE
Credential :
Telephone Number : 713-383-2100
Provider Enumeration Date : 08/08/2013
Last Update Date : 08/08/2013

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Directions to “TCG CLINIC, LLC ” Practice Location

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