| Organization Name: | DILLON'S TLC |
| NPI Number: | 1003105578 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACQUELINE PONCE VALADEZ (OWNER/PRESIDENT) |
| Mailing Address: | 711 N Main St Suite A Boerne |
| State: | TX US |
| Postal Code: | 780061623 |
| Phone Number: | 2106858898 |
| Fax Number: | 8305373535 |
| NPI Enumeration Date: | 04/05/2011 |
| NPI Last Update Date: | 04/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225500000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |