MEDICARE: TCF CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1609734474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TCF CLINIC LLC

Provider Business Mailing Address
First Line	:	1515 N HARVARD AVE STE B
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74115-4904
Country	:	US
Telephone Number	:	918-410-0041
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 N HARVARD AVE STE B
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74115-4904
Country	:	US
Telephone Number	:	918-410-0041
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PEDRO RENIER PEREZ SUAREZ
Credential	:
Telephone Number	:	918-410-0041

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “TCF CLINIC LLC ” Practice Location

Language	Start Address	Practice Location

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