NPIMap

Organization Active NPI

TMC Provider Group PLLC

Doing business as Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1033968789
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TMC PROVIDER GROUP PLLC
Doing business as
Texas MedClinic
Practice address
14609 Potranco Rd.
San Antonio, TX 78245
Phone
(337) 465-4600
NPI assigned
May 15, 2024
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erica Hauser
Title
President
Phone
(312) 590-5372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

14609 Potranco Rd.
San Antonio, TX 78245

Mailing address

600 Jefferson St Ste 600
Lafayette, LA 70501-6987

Other names 1

  • Texas MedClinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160127002626 TX Part B Supplier - Clinic/Group Practice 6305149121 Receives reassigned benefits from 286 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Round Rock, TX; San Antonio, TX; Selma, TX; Spring, TX; Spring Branch, TX; Vidor, TX; Jarrell, TX; Austin, TX…

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 25

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2306462Texas Medclinic PLCC14609 Potranco Road, San Antonio, TX 78245Provider-performed microscopyJun 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
TMC Provider Group PLLC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

12319 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 835-5577

164 Belterra Village Way
Unit A2
Austin, TX 78737
Phone (512) 596-0595

8465 Memorial Blvd
Ste 300
Port Arthur, TX 77640
Phone (409) 344-4220

1111 SE Military Dr
San Antonio, TX 78214
Phone (210) 924-4475

14609 Potranco Rd
San Antonio, TX 78253
Phone (210) 939-5257

323 N Loop 1604 W
San Antonio, TX 78232
Phone (210) 549-5893

335 W Loop 1604 S
San Antonio, TX 78245
Phone (210) 349-5577

25118 Grogans Mill Rd
The Woodlands, TX 77380
Phone (346) 472-2500

Practitioners & affiliated clinicians

Practitioners 261

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 261

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1033968789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON ST STE 600",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14609 POTRANCO RD.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78245",
            "telephone_number": "337-465-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC PROVIDER GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-590-5372"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas MedClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.