| NPI | 1699165779 |
|---|---|
| Doing Business As | TLC FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | TERRY GAIL BRATCHER Administrator 575-885-9199 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2023-11-29 |