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NPI Code Detail

MEDICARE: TCH PEDIATRIC ASSOCIATES, INC

MEDICARE: TCH PEDIATRIC ASSOCIATES, INC
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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1548321334
Entity Type Code : Organization
Provider Name (Legal Business Name) : TCH PEDIATRIC ASSOCIATES, INC
Provider Business Mailing Address
First Line : PO BOX 841969
Second Line :
City : DALLAS
State : TX
Zip : 75284-1969
Country : US
Telephone Number : 832-824-6602
Fax Number : 832-825-8901
Provider Business Practice Location Address
First Line : 740 GULFGATE CENTER MALL
Second Line :
City : HOUSTON
State : TX
Zip : 77087-3026
Country : US
Telephone Number : 713-514-8060
Fax Number :
Authorized Official
Title or Position : PROVIDER RELATIONS REP
Name : MIRIAM COMPTON
Credential :
Telephone Number : 832-824-6602
Provider Enumeration Date : 12/13/2006
Last Update Date : 01/23/2013

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Directions to “TCH PEDIATRIC ASSOCIATES, INC ” Practice Location

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