TLC Pediatrics, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L1138 Issued in TX

Legal business name

TLC PEDIATRICS, P.A.

Practice address

1105 Central Expy N
Suite 320
Allen, TX 75013-6103

Phone

(972) 747-5437

Fax

(972) 747-5497

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J Moulton, M.D.NPI 1447201801

Title

Doctor

Phone

(972) 747-5437

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel J Moulton, M.D.

  • Pediatrics Physician
  • Allen, TX
  • NPI 1447201801
  NPD (past) Authorized official
• Christina Camizzi

  • Pediatric Nurse Practitioner
  • Plano, TX
  • NPI 1588371694
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124078258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N",
            "address_2": "SUITE 320",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136103",
            "telephone_number": "972-747-5437",
            "fax_number": "972-747-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N",
            "address_2": "SUITE 320",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136103",
            "telephone_number": "972-747-5437",
            "fax_number": "972-747-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-747-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L1138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepthi Thotakura, M.D
• Thrive Dental Allen PLLC
• Thrive Family Dermatology, PLLC
• Shelby Tidwell
• Tiffany Gay Tinkler, RPH
• Sonya To, M.S. CCC-SLP
• Madeline Todd, PA-C
• Gretchen Tolnay
• Dora Toma
• Sharon Marjorie Tomlinson, PMHNP

• Pediatrics Physician in Allen, TX
• Providers in Allen, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.