Provider Demographics
NPI:1649160599
Name:TCP HEALTH SA PLLC
Entity type:Organization
Organization Name:TCP HEALTH SA PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:
Authorized Official - Last Name:ATIQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-820-0996
Mailing Address - Street 1:4553 N LOOP 1604 W STE 1119
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-1364
Mailing Address - Country:US
Mailing Address - Phone:210-972-8058
Mailing Address - Fax:210-972-1613
Practice Address - Street 1:4553 N LOOP 1604 W STE 1119
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-1364
Practice Address - Country:US
Practice Address - Phone:210-972-8058
Practice Address - Fax:210-225-2336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty