NPIMap

Organization Active NPI

TMC Provider Group PLLC

Doing business as Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1053784660
Registry record updated Dec 29, 2023
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
13722 Embassy Row
San Antonio, TX 78216-2000
Phone
(210) 349-5577
Fax
(210) 491-2868
NPI assigned
Nov 4, 2015
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Specialist 174400000X F0031 TX

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 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
Practice locations: Round Rock, TX; San Antonio, TX; Selma, TX; Spring, TX; Spring Branch, TX; Vidor, TX; Jarrell, TX; Austin, TX…

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 25

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

View all 25

National Provider Directory

National Provider Directory

Locations

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

9900 S Interstate 35
Ste S
Austin, TX 78748

13140 W State Highway 29
Liberty Hill, TX 78642
Phone (512) 615-9868

1615 W Church St
Livingston, TX 77352
Phone (888) 634-3627

1701 S Colorado St
Lockhart, TX 78644
Phone (512) 312-7522

2132 S 1st St
Lufkin, TX 75901
Phone (936) 634-3627

20304 US Highway 59
New Caney, TX 77357

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

9207 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 695-4884

8341 Agora Pkwy
Selma, TX 78154
Phone (210) 559-5533

Practitioners & affiliated clinicians

Practitioners 286

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 286

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1053784660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4165",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084165",
            "telephone_number": "210-349-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13722 EMBASSY ROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162000",
            "telephone_number": "210-349-5577",
            "fax_number": "210-491-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC PROVIDER GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "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
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F0031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas MedClinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "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 Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.