NPI 1235417940

Tlc Medical Clinic LLC

Organisation Health Maintenance Organization Las Cruces, NM

Practice location

Address: 2801 Missouri Ave Suite 7, Las Cruces, NM 88011-5075
Phone: (575) 373-8415
Fax: (575) 373-8416

Authorised official

Name: Yvonne M Mouchette
Title: Owner
Phone: (575) 373-8415

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in New Mexico →

Registry record

NPI: 1235417940
Entity type: Organization
NPI issued: 28 Jul 2011
Record last updated: 10 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.