TMC Mansfield, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

TMC MANSFIELD, LLC

Practice address

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

Phone

(972) 294-9666

NPI assigned

Oct 2, 2018

Organization subpart

No

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

Authorized official

Name

Lori Guerrero

Title

Administrator

Phone

(972) 294-9666

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• 1710 Mansfield Medical Group Former legal business name

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1396220604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 PRECINCT LINE RD STE 103",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543109",
            "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": "2018-10-02",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-294-9666"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FILE NUMBER - SECRETARY OF STATE",
            "identifier": "802982535",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1710 Mansfield Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "1710 Mansfield Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Special Hospital in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Special Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.