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TLC PEDIATRICS PLLC NPI 1649584038


NPI Information

NPI: 1649584038
Provider Name: TLC PEDIATRICS, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 04D2011490

Address:
955 CAROLYN LN
CONWAY, AR
ZIP 72034
Phone: (501) 327-2444
Get Directions

TLC PEDIATRICS, PLLC is a pediatrics in Conway, AR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TLC PEDIATRICS, PLLC NPI is 1649584038. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

955 CAROLYN LN
CONWAY, AR
ZIP 72034-015
Phone: (501) 327-2444
Fax: (501) 327-2443

The provider's authorized official is Terence L Champlin .
The authorized official title is Owner and has the following contact phone number (501) 327-2444.

The CLIA number assigned to this NPI record is 04D2011490 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 1/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMC-2758ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1183907002MEDICAIDARKANSAS
25G341OTHERARKANSASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.