TMC Provider Group PLLC
Organization Active NPI Urgent Care Clinic/Center · San Antonio, TX
NPI 1053784660 · NPPES record last updated Dec 29, 2023
Key facts
- NPI
- 1053784660
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- TMC PROVIDER GROUP PLLC
- Practice address
- 13722 Embassy Row
San Antonio, TX 78216-2000 - Phone
- (210) 349-5577
- Fax
- (210) 491-2868
- NPI assigned
- Nov 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Erica Hauser
- Title
- President
- Phone
- (312) 590-5372
Other NPIs on the same Medicare enrollment 25
Other NPIs with the same Medicare PAC ID 3
Practitioners 291
-
Melissa D Abbott, NP
-
Darrell Andrew Alviar, PA-C
-
Peter Amokeodo, NP-C
-
Elsa Marlene Anaya, FNP
-
Leslie F Anslem, N.P.
-
Derek Arredondo, FNP
-
James B Baggett, MD
-
Christopher Kirk Bailey, APRN-FNP
-
Todd A Baker, MD
-
Tiffany Batten, APRN, FNP-C
-
Erin Bedair, NP
-
Laura Ashley Beech, M.D.
-
Sydney Ann Bell, PA-C
-
Elizabeth Danielle Benavides, FNP-C
-
Ami Beshay, MD
-
Annie Bomer, APRN
-
Mellissa May Bruce, APRN-CNP
-
Brooke Marie Bynum, N.P.
-
Kathleen Marie Velasquez Calara, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160127002626 | TX | Part B Supplier - Clinic/Group Practice | 6305149121 |
Receives reassigned benefits from 286 practitioners 25 other NPIs on this enrollment Practice locations: Round Rock, TX; San Antonio, TX; Selma, TX; Spring, TX; Spring Branch, TX; Vidor, TX; Jarrell, TX; Austin, TX… |
National Provider Directory
Locations
9900 S Interstate 35
Ste S
Austin, TX 78748
9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577
17002 Gleneagle Dr S
Conroe, TX 77385
Phone (832) 447-7123
114 S Lhs Dr
Lumberton, TX 77657
Phone (409) 225-9582
20304 US Highway 59
New Caney, TX 77357
6570 Ingram Rd
San Antonio, TX 78238
Phone (210) 349-5577
2530 SW Military Dr
San Antonio, TX 78224
Phone (210) 455-9217
1111 SE Military Dr
San Antonio, TX 78214
Phone (210) 927-5580
11811 Blanco Rd
San Antonio, TX 78216
Phone (210) 341-5588
1007 NE Loop 410
San Antonio, TX 78209
Phone (210) 821-5598
1105 N Main St
Vidor, TX 77662
Phone (409) 422-4380
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | F0031 | TX | |
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
13722 Embassy Row
San Antonio, TX 78216-2000
Mailing address
PO Box 4165
Portland, OR 97208-4165
Phone (210) 349-5577
Other names
- Texas MedClinic
Other providers in San Antonio, TX
- TLG Dental Group
- TLG the Lahaye Group LLC
- TLJ Neurology, PLLC
- TMC Medical Sales, LLC
- TMC Provider Group PLLC
- TMC Provider Group PLLC
- TMC Provider Group PLLC
- TMC Provider Group PLLC
- TMC Provider Group PLLC
- TMC Provider Group PLLC
All providers in San Antonio, TX · Urgent Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.