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TLC HEALTHCARE MEDICAL GROUP PC NPI 1720157464


NPI Information

NPI: 1720157464
Provider Name: TLC HEALTHCARE MEDICAL GROUP PC

Doing Business As: SCOTT M BOLHACK MD PC

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
5130 NORTH CIRCULO SOBRIO
TUCSON, AZ
ZIP 85718
Phone: (520) 670-0745
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TLC HEALTHCARE MEDICAL GROUP PC is a geriatric medicine family medicine in Tucson, AZ. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. TLC HEALTHCARE MEDICAL GROUP PC NPI is 1720157464. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Scott M Bolhack Md Pc.

The provider's business location address is:

5130 NORTH CIRCULO SOBRIO
TUCSON, AZ
ZIP 85718-036
Phone: (520) 670-0745
Fax: (520) 509-4496

The provider's authorized official is Scott M Bolhack .
The authorized official title is Owner/authorized Official and has the following contact phone number (520) 670-0745.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 3/22/2019.


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
1207QG0300XFamily MedicineGeriatric MedicineYes
2207QG0300XFamily MedicineGeriatric Medicine20393ARIZONANo
3207R00000XInternal MedicineNo
4207RG0300XInternal MedicineGeriatric Medicine20393ARIZONANo
5207RG0300XInternal MedicineGeriatric MedicineNo

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
1328958MEDICAIDARIZONA

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: 4/28/2024

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