Organization Active NPI

TMC Mansfield, LLC

  • Clinic/Center
  • Mansfield, TX
National Provider Identifier
1043779515
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TMC MANSFIELD, LLC
Practice address
1710 Highway 287 N Ste 300
Mansfield, TX 76063-7631
Phone
(972) 294-9666
NPI assigned
Mar 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Lori Guerrero, RN
Title
Ceo
Phone
(972) 294-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1710 Highway 287 N Ste 300
Mansfield, TX 76063-7631

Mailing address

1710 Highway 287 N Ste 300
Mansfield, TX 76063-7631
Phone (972) 294-9666

Other names 1

  • Trusted Medical Centers Mansfield Outpatient Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1043779515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HIGHWAY 287 N STE 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637631",
            "telephone_number": "972-294-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HIGHWAY 287 N STE 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637631",
            "telephone_number": "972-294-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC MANSFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-294-9666",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trusted Medical Centers Mansfield Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.