| Organization Name: | TLC SURGICAL MANAGEMENT, LLC |
| NPI Number: | 1114218054 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY ROSILEZ (MEMEBER) |
| Mailing Address: | 934 Arbor Pne Tomball |
| State: | TX US |
| Postal Code: | 773754183 |
| Phone Number: | 8328879037 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2011 |
| NPI Last Update Date: | 04/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | SA00350 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |