Provider Demographics
NPI:1881840304
Name:TCMC, P.C.
Entity Type:Organization
Organization Name:TCMC, P.C.
Other - Org Name:CHIROPRACTIC NEUROLOGY & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:CULLETON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-366-5911
Mailing Address - Street 1:201 SOUTH LAKELINE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613
Mailing Address - Country:US
Mailing Address - Phone:512-366-5911
Mailing Address - Fax:
Practice Address - Street 1:201 SOUTH LAKELINE
Practice Address - Street 2:SUITE 204
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613
Practice Address - Country:US
Practice Address - Phone:512-366-5911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8239111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty