Provider Demographics
NPI:1396173118
Name:TLC PEDIATRICS, PC
Entity type:Organization
Organization Name:TLC PEDIATRICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-733-8200
Mailing Address - Street 1:4520 LINDEN CREEK PKWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2969
Mailing Address - Country:US
Mailing Address - Phone:810-244-1168
Mailing Address - Fax:810-733-8272
Practice Address - Street 1:4520 LINDEN CREEK PKWY
Practice Address - Street 2:SUITE F
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2969
Practice Address - Country:US
Practice Address - Phone:810-244-1168
Practice Address - Fax:810-733-8272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301081219208000000X
MI4301076593208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty