Tlc Medical Clinic LLC
NPI #1235417940 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1235417940
- Entity Type
- Organization
- Organization Name
- Tlc Medical Clinic LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jul 28, 2011
- Last Updated
- Aug 10, 2012
Practice Location
- Address
- 2801 MISSOURI AVE
- Address 2
- SUITE 7
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-5075
- Phone
- (575) 373-8415
Authorized Official
- Name
- YVONNE M MOUCHETTE
- Title
- OWNER
- Phone
- (575) 373-8415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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