Organization
TLIMP, PLLC
Active
Other names
TLP Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE MICHELLE ELLISON MD (DOCTOR)
(501) 837-3680
Entity
Organization
Contact information
Practice address
2002 TIMBERLOCH PL STE 200, THE WOODLANDS, TX 77380-1182
(501) 837-3680
Mailing address
17608 NORTHERN HARRIER CT, CONROE, TX 77385-3843
(501) 837-3680
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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