Tlc Family Clinic, LLC
NPI #1023366614 in Broken Bow, Oklahoma
Provider Information
- NPI Number
- 1023366614
- Entity Type
- Organization
- Organization Name
- Tlc Family Clinic, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 29, 2012
- Last Updated
- Aug 29, 2012
Practice Location
- Address
- 700 W. JONES
- Address 2
- TLC FAMILY CLINIC, LLC
- City
- Broken Bow
- State
- Oklahoma
- ZIP Code
- 74728
- Phone
- (580) 584-2643
Authorized Official
- Name
- JACQUELINE S ROLLINS, APRN, C-NP
- Title
- NURSE PRACTITIONER
- Phone
- (580) 584-2643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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