Organization
TONDALA LATRECE COMPANY ENTERPRISE,LLC
Active
Other names
TLC ENTERPRISE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONDALA LATRECE FOWLER B.S.; CAMIS (OWNER)
(214) 577-8664
Entity
Organization
Contact information
Practice address
9103 ARISTOCRAT LN, FRISCO, TX 75033-7176
(214) 577-8664
Mailing address
8811 TEEL PKWY, SUITE 100-5222, FRISCO, TX 75035-4201
(214) 577-8664
(214) 305-6911
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
14692890
TX
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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