| Tlc Family Clinic Pllc | |
|
230 Parking Way St Lake Jackson TX 77566-5227 | |
| (979) 313-6278 | |
| (979) 401-4175 |
| Full Name | Tlc Family Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 230 Parking Way St, Lake Jackson, Texas |
| Authorized Official Name and Position | Yolanda Deleon (FRONT OFFICE) |
| Authorized Official Contact | 9793136278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Family Clinic Pllc 230 Parking Way St Lake Jackson TX 77566-5227 Ph: (979) 313-6278 | Tlc Family Clinic Pllc 230 Parking Way St Lake Jackson TX 77566-5227 Ph: (979) 313-6278 |
| NPI Number | 1093453201 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 7214384478 |
|---|---|
| Medicare Enrollment ID | O20231109000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093453201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Falon L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922349174 PECOS PAC ID: 6002055506 Enrollment ID: I20130613000091 |
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