MEDICARE: TC NORTH PLLC

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
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1427982586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TC NORTH PLLC

Provider Business Mailing Address
First Line	:	17270 RED OAK DR STE 260
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2623
Country	:	US
Telephone Number	:	409-945-5511
Fax Number	:	409-945-5385

Provider Business Practice Location Address
First Line	:	17270 RED OAK DR STE 260
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2623
Country	:	US
Telephone Number	:	409-945-5511
Fax Number	:	409-945-5385

Authorized Official
Title or Position	:	OWNER
Name	:	JOSE CORREA
Credential	:	OD
Telephone Number	:	409-933-2776

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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