Tlc Medical Clinic Llc

NPI 1235417940 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1235417940
Enumeration Date 07/28/2011
Last Updated 08/10/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name YVONNE M YVONNE
Position OWNER
Phone (575) 373-8415
Fax (575) 373-8416
Practice Location
2801 MISSOURI AVE
SUITE 7
LAS CRUCES NM, 88011-5075, US
Phone (575) 373-8415
Fax (575) 373-8416
Business Location
2801 MISSOURI AVE
SUITE 7
LAS CRUCES NM, 88011-5075, US
Phone (575) 373-8415
Fax (575) 373-8416
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
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According to our database, Tlc Medical Clinic Llc NPI is 1235417940, taxonomy code is 302R00000X Tlc Medical Clinic Llc physically located at 2801 Missouri Ave, Las Cruces NM, 88011-5075. NPI Number 1033115704 has the healthcare provider type.

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1235417940 NPI number is provided on an as is basis without warranty of any kind. 1235417940 is maintained by the National Plan & Provider Enumeration System. The contents of Tlc Medical Clinic Llc are for informational purposes only.