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General NPI Number Information
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NPI Number | 1982951901
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Entity Type | Organization
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Legal Business Name | TLC CLINIC, PLLC
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 12600 SCARSDALE BLVD STE A
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City | HOUSTON
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State | TX
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Zip | 77089-6271
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Country | US
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Telephone | 281-481-6663
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Fax | 281-481-6369
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Provider Business Mailing Address
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Address Line | 7602 JANAK DR
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City | HOUSTON
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State | TX
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Zip | 77055-3611
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Country | US
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Telephone | 713-825-8279
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Fax | 281-501-2944
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Authorized Official
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Title or Position | OWNER
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Name | DR. HUY QUOC LE
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Credential | M.D.
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Telephone | 713-825-8279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | P3754
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License Number State | TX
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