TCSD CLINIC LLC – NPI #1639367329
Clinic/Center

TCSD CLINIC LLC is an AHC clinic located in SOUTHLAKE, TX. NPPES has assigned the NPI number 1639367329 to TCSD CLINIC LLC on October 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Sleep Disorder Diagnostic

The NPI profile was previously updated about 17 years ago on Jan 19, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TCSD CLINIC LLC below.

NPI Profile for
TCSD CLINIC LLC

NPI Number
1639367329
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TCSD CLINIC LLC
Primary location
3120 W SOUTHLAKE BLVD
SUITE 100
SOUTHLAKE, TX 76092-6783
Phone: (817) 741-4521 Fax: (817) 741-4279
Mailing address
PO BOX 5576
EDMOND, OK 73083-5576
Phone: (405) 285-4914 Fax: (405) 285-7127
Organization Subpart
No
Authorized Official
SHELLI WALL
INSURANCE CONTRACTING SPECIALIST
Phone: (405) 285-4914
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1200X
- Clinic/Center / Sleep Disorder Diagnostic (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.