Organization Active NPI

TCH Pediatric Associates, Inc

Doing business as TCP Long Horn Pediatrics

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1407403264
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TCH PEDIATRIC ASSOCIATES, INC
Doing business as
TCP Long Horn Pediatrics
Practice address
12120 Ranch Road 620 N
Austin, TX 78750-1079
Phone
(512) 833-7334
Fax
(512) 833-7333
NPI assigned
Aug 26, 2019
Last updated
Aug 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura Villar
Title
TCP Cbo Manager
Phone
(832) 824-6631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

12120 Ranch Road 620 N
Austin, TX 78750-1079

Mailing address

8080 N Stadium Dr Ste 200
Houston, TX 77054-1877
Phone (832) 824-6631

Other names 1

  • TCP Long Horn Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Texas Childrens Pediatric102 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1407403264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 N STADIUM DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541877",
            "telephone_number": "832-824-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 RANCH ROAD 620 N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501079",
            "telephone_number": "512-833-7334",
            "fax_number": "512-833-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCH PEDIATRIC ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "VILLAR",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "TCP CBO MANAGER",
        "authorized_official_telephone_number": "832-824-6631"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCP Long Horn Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TCP Long Horn Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.