TCSD Clinic LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

TCSD CLINIC LLC

Practice address

3120 W Southlake Blvd
Suite 100
Southlake, TX 76092-6783

Phone

(817) 741-4521

Fax

(817) 741-4279

NPI assigned

Oct 9, 2007

Last updated

Jan 19, 2009By 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

Shelli M Wall

Title

Insurance Contracting Specialist

Phone

(405) 285-4914

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1639367329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5576",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730835576",
            "telephone_number": "405-285-4914",
            "fax_number": "405-285-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W SOUTHLAKE BLVD",
            "address_2": "SUITE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926783",
            "telephone_number": "817-741-4521",
            "fax_number": "817-741-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCSD CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE CONTRACTING SPECIALIST",
        "authorized_official_telephone_number": "405-285-4914"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Hope Tavakolian, M.D.
• Sheena Tavana, CNIM
• Amber Lynn Taylor D'Aquin, MA, LPC, LCDC
• Gregory David Taylor, M.D., D.D.S
• Nicole Taylor, NP
• Team Stat Home Health LLC
• Team Stat Medical Supplies LLC
• Teresa Tebrinke, LPC
• Teleconnect, Inc (Privy Oasis, LLC)
• Emily Terpstra, M.S., SLP

• Sleep Disorder Diagnostic Clinic/Center in Southlake, TX
• Providers in Southlake, TX by specialty
• Sleep Disorder Diagnostic Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.