Provider Demographics
NPI:1992115505
Name:TMR INTERESTS LLC
Entity type:Organization
Organization Name:TMR INTERESTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBOTHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-370-0075
Mailing Address - Street 1:11410 LOUETTA RD
Mailing Address - Street 2:STE H
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1364
Mailing Address - Country:US
Mailing Address - Phone:281-370-0075
Mailing Address - Fax:281-370-0626
Practice Address - Street 1:11410 LOUETTA RD
Practice Address - Street 2:STE H
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1364
Practice Address - Country:US
Practice Address - Phone:281-370-0075
Practice Address - Fax:281-370-0626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty