Healthcare Provider Details

I. General information

NPI: 1376411926
Provider Name (Legal Business Name): TECS ARIZONA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4065 E BELL RD
PHOENIX AZ
85032-2208
US

IV. Provider business mailing address

18312 MIDDLEBELT RD
LIVONIA MI
48152-5007
US

V. Phone/Fax

Practice location:
  • Phone: 602-867-0212
  • Fax:
Mailing address:
  • Phone: 224-777-8045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR VAN LEEUWEN
Title or Position: PRESIDENT
Credential: DO
Phone: 224-777-8045