Healthcare Provider Details

I. General information

NPI: 1609734474
Provider Name (Legal Business Name): TCF CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12737 E 41ST ST
TULSA OK
74146-3502
US

IV. Provider business mailing address

12737 E 41ST ST
TULSA OK
74146-3502
US

V. Phone/Fax

Practice location:
  • Phone: 918-410-0041
  • Fax: 539-867-1803
Mailing address:
  • Phone: 918-410-0041
  • Fax: 539-867-1803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PEDRO RENIER PEREZ SUAREZ
Title or Position: OWNER
Credential:
Phone: 918-410-0041