Tlc Clinic, Pllc | |
12600 Scarsdale Blvd Ste A Houston TX 77089-6271 | |
(281) 481-6663 | |
(281) 481-6369 |
Full Name | Tlc Clinic, Pllc |
---|---|
Speciality | Clinic/Center |
Location | 12600 Scarsdale Blvd Ste A, Houston, Texas |
Authorized Official Name and Position | Huy Quoc Le (OWNER) |
Authorized Official Contact | 7138258279 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tlc Clinic, Pllc 7602 Janak Dr Houston TX 77055-3611 Ph: (713) 825-8279 | Tlc Clinic, Pllc 12600 Scarsdale Blvd Ste A Houston TX 77089-6271 Ph: (281) 481-6663 |
NPI Number | 1982951901 |
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Provider Enumeration Date | 08/09/2012 |
Last Update Date | 08/09/2012 |
Medicare PECOS PAC ID | 0446407985 |
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Medicare Enrollment ID | O20120905000786 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982951901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | P3754 (Texas) | Primary |
Provider Name | Huy Quoc Le |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750645859 PECOS PAC ID: 1355598897 Enrollment ID: I20120906000232 |
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