Provider Demographics
NPI:1912236670
Name:TLC HOME HEALTHCARE SERVICES,INC
Entity Type:Organization
Organization Name:TLC HOME HEALTHCARE SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:915-772-4852
Mailing Address - Street 1:1635 N LEE TREVINO DR STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-5174
Mailing Address - Country:US
Mailing Address - Phone:915-772-4852
Mailing Address - Fax:915-772-0430
Practice Address - Street 1:1635 N LEE TREVINO DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-5175
Practice Address - Country:US
Practice Address - Phone:915-772-4852
Practice Address - Fax:915-772-0430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1228251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747614Medicare PIN