| Tlc Family Clinic, Llc | |
|
700 W. Jones Tlc Family Clinic, Llc Broken Bow OK 74728 | |
| (580) 584-2643 | |
| Not Available |
| Full Name | Tlc Family Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 700 W. Jones, Broken Bow, Oklahoma |
| Authorized Official Name and Position | Jacqueline S Rollins (NURSE PRACTITIONER) |
| Authorized Official Contact | 5805842643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Family Clinic, Llc 700 W. Jones Tlc Family Clinic, Llc Broken Bow OK 74728 Ph: (580) 584-2643 | Tlc Family Clinic, Llc 700 W. Jones Tlc Family Clinic, Llc Broken Bow OK 74728 Ph: (580) 584-2643 |
| NPI Number | 1023366614 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 08/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023366614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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