Healthcare Provider Details

I. General information

NPI: 1629937701
Provider Name (Legal Business Name): TDM MEDICAL CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7002 S CENTRAL AVE
PHOENIX AZ
85042-5423
US

IV. Provider business mailing address

7002 S CENTRAL AVE
PHOENIX AZ
85042-5423
US

V. Phone/Fax

Practice location:
  • Phone: 602-499-4221
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. TERESA DEAN MALCOLM
Title or Position: CEO/FOUNDER
Credential: MD, FACOG, MBA, PCC
Phone: 480-209-4899