Active NPI
TLC Family Clinic PLLC
- Primary Care Clinic/Center
- Lake Jackson, TX
National Provider Identifier
1093453201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- TLC FAMILY CLINIC PLLC
- Practice address
- 230 Parking Way St
Lake Jackson, TX 77566-5227 - Phone
- (979) 313-6278
- Fax
- (979) 401-4175
- NPI assigned
- May 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yolanda Deleon
- Title
- Front Office
- Phone
- (979) 313-6278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
230 Parking Way St
Lake Jackson, TX 77566-5227
Mailing address
230 Parking Way St
Lake Jackson, TX 77566-5227
Phone (979) 313-6278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
230 Parking Way St
Lake Jackson, TX 77566
Phone (979) 313-6278
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lake Jackson, TX
- NPI 1922349174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699401600000",
"number": "1093453201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 PARKING WAY ST",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665227",
"telephone_number": "979-313-6278",
"fax_number": "979-401-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 PARKING WAY ST",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665227",
"telephone_number": "979-313-6278",
"fax_number": "979-401-4175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC FAMILY CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-26",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A",
"authorized_official_last_name": "DELEON",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "FRONT OFFICE",
"authorized_official_telephone_number": "979-313-6278"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.