Healthcare Provider Details

I. General information

NPI: 1194548701
Provider Name (Legal Business Name): TJL MEDICAL CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2024
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 S LOOP 340
ROBINSON TX
76706-4828
US

IV. Provider business mailing address

329 W COUGAR LN
CHINA SPRING TX
76633-2909
US

V. Phone/Fax

Practice location:
  • Phone: 214-970-6817
  • Fax: 844-803-4513
Mailing address:
  • Phone: 254-722-0101
  • Fax: 844-803-4513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TWILADAWN JUSTUS LOVETT
Title or Position: OWNER
Credential: M.D.
Phone: 254-722-0101