| NPI | 1760160592 |
|---|---|
| Former Legal Business Name | TLC TELEHEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | LAVARE SELTUN Owner/Manager 980-745-2195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-11 |