Provider Demographics
NPI:1932713666
Name:TECC ATASCOCITA LLC
Entity Type:Organization
Organization Name:TECC ATASCOCITA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-653-3200
Mailing Address - Street 1:4700 W SAM HOUSTON PKWY N STE 140
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-8222
Mailing Address - Country:US
Mailing Address - Phone:832-653-3200
Mailing Address - Fax:832-653-2978
Practice Address - Street 1:19143 W LAKE HOUSTON PKWY
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-4800
Practice Address - Country:US
Practice Address - Phone:281-540-9113
Practice Address - Fax:281-540-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care