| Tlc Physicians Pllc | |
|
13100 Military Rd S Ste 1 Tukwila WA 98168-3086 | |
| (206) 242-7334 | |
| (206) 242-7335 |
| Full Name | Tlc Physicians Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 13100 Military Rd S, Tukwila, Washington |
| Authorized Official Name and Position | Loan Ngoc Vu (PRESIDENT) |
| Authorized Official Contact | 2062427334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Physicians Pllc 13100 Military Rd S Ste 1 Tukwila WA 98168-3086 Ph: (206) 242-7334 | Tlc Physicians Pllc 13100 Military Rd S Ste 1 Tukwila WA 98168-3086 Ph: (206) 242-7334 |
| NPI Number | 1235300260 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Medicare PECOS PAC ID | 5395923890 |
|---|---|
| Medicare Enrollment ID | O20110706000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235300260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00046816 (Washington) | Primary |
| Provider Name | Loan Ngoc Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396799870 PECOS PAC ID: 9133198203 Enrollment ID: I20110707000342 |
| Provider Name | Ngoc Le Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184720179 PECOS PAC ID: 6800821471 Enrollment ID: I20110720000087 |
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