NPIMap

Organization Active NPI

TMC Provider Group PLLC

Doing business as Texas MedClinic

  • Urgent Care Clinic/Center
  • Round Rock, TX
National Provider Identifier
1376908178
Registry record updated Mar 21, 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
4851 N Ih 35
Round Rock, TX 78664-2420
Phone
(512) 486-6140
Fax
(512) 863-4285
NPI assigned
Dec 21, 2015
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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
Family Medicine Physician 207Q00000X F0031 TX

Addresses

Primary practice location

4851 N Ih 35
Round Rock, TX 78664-2420

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
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
45D2068421Texas Medclinic- RR4851 North Ih 35, Round Rock, TX 78664Provider-performed microscopyNov 3, 2027

National Provider Directory

National Provider Directory

Locations

4909 North St
Nacogdoches, TX 75965
Phone (936) 560-9898

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1376908178",
    "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": "4851 N IH 35",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642420",
            "telephone_number": "512-486-6140",
            "fax_number": "512-863-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC PROVIDER GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "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 Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.