TLC Family Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TLC FAMILY CLINIC, LLC

Practice address

700 W. Jones
TLC Family Clinic, LLC
Broken Bow, OK 74728

Phone

(580) 584-2643

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline S Rollins, APRN, C-NP

Title

Nurse Practitioner

Phone

(580) 584-2643

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1023366614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W. JONES",
            "address_2": "TLC FAMILY CLINIC, LLC",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "74728",
            "telephone_number": "580-584-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W. JONES",
            "address_2": "TLC FAMILY CLINIC, LLC",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "74728",
            "telephone_number": "580-584-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "580-584-2643",
        "authorized_official_credential": "APRN, C-NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Stover, RN, NP-C
• Pierre Francis Taron III, D.C.
• Texarkana Eye Associates-Broken Bow Branch
• Tobe Thacker, D.C.
• Three Rivers Consulting & Management ,LLC (Complete Hospice Care of Eastern Oklahoma)
• Tobe Thacker (Broken Bow Chiropractic)
• Sarah Todd
• Renisa Underwood
• Catherine Valencia, LPC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0117)

• Primary Care Clinic/Center in Broken Bow, OK
• Providers in Broken Bow, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.