Organization
TLC PROVIDERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLA WILLIAMS (MANAGER)
(281) 387-9128
Entity
Organization
Contact information
Practice address
12735 GRAND CROSS LN, HOUSTON, TX 77072-4609
(281) 387-9128
Mailing address
12735 GRAND CROSS LN, HOUSTON, TX 77072-4609
(281) 387-9128
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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