Organization Active NPI

TMC Provider Group, PLLC

  • Urgent Care Clinic/Center
  • Nacogdoches, TX
National Provider Identifier
1629869722
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TMC PROVIDER GROUP, PLLC
Practice address
4909 North St
Nacogdoches, TX 75965-1800
Phone
(936) 560-9898
Fax
(936) 206-7115
NPI assigned
May 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4909 North St
Nacogdoches, TX 75965-1800

Mailing address

PO Box 4165
Portland, OR 97208-4165

Other names 1

  • Texas MedClinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TMC Provider Group PLLC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1629869722",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651800",
            "telephone_number": "936-560-9898",
            "fax_number": "936-206-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC PROVIDER GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas MedClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.