| Organization Name: | TRI-COUNTY PRACTICE ASSOCIATION |
| NPI Number: | 1164756342 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK LEE (MEDICAL DIRECTOR) |
| Mailing Address: | 6001 Kyle Pkwy Kyle |
| State: | TX US |
| Postal Code: | 786406112 |
| Phone Number: | 5123243580 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2009 |
| NPI Last Update Date: | 09/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |