TLC Pediatrics Tucson, PLLC.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

29512 Issued in AZ

Legal business name

TLC PEDIATRICS TUCSON, PLLC.

Practice address

6620 E Carondelet Dr
Tucson, AZ 85710-2119

Phone

(520) 296-3248

Fax

(520) 296-3249

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Rosa L Lopez-Cohen, MD

Title

President

Phone

(520) 296-3248

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1770824203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102119",
            "telephone_number": "520-296-3248",
            "fax_number": "520-296-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102119",
            "telephone_number": "520-296-3248",
            "fax_number": "520-296-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PEDIATRICS TUCSON, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-COHEN",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-296-3248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "29512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581696",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TLC Healthcare Medical Group PC
• TLC Healthcare Wound Specialists Inc
• TLC Medical Group - Catalina Foothills
• TLC Medical LLC
• TLC Pain & Palliative Medicine Practice, Inc
• TMC Medical Network
• TMC Urgent Care
• TMC Urgent Care
• Tmcone
• TMD LLC

• Pediatrics Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.