TLC Cec Parkdale LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

TLC CEC PARKDALE LLC

Practice address

4117 S Staples St
140
Corpus Christi, TX 78411-5505

Phone

(817) 421-0034

Fax

(817) 421-0036

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

John Braxton Neiman, ESQ.

Title

General Counsel

Phone

(817) 421-0034

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1134585722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93027",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921027",
            "telephone_number": "817-421-0034",
            "fax_number": "817-421-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 S STAPLES ST",
            "address_2": "140",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115505",
            "telephone_number": "817-421-0034",
            "fax_number": "817-421-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC CEC PARKDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRAXTON",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "817-421-0034",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toi Renee Tippin, MA, LPC
• Thomas Ellis Tippit Sr., DDS
• Titan Anesthesia Associates LLC
• Tja Management, LLC
• TLC Adult Day Care Centers, Inc.
• TLC Corpus Emergency Care LLC
• TMJ & Facial Pain Center, P.a.
• Sebastian Tobia Gonzalez, MD
• Janice F Todd, RPH
• Mary Ann Todd, CRNA

• Emergency Care Clinic/Center in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.