NPIMap

TMC Provider Group PLLC

Organization Active NPI Urgent Care Clinic/Center · San Antonio, TX

NPI 1669837464 · NPPES record last updated Mar 21, 2023

Key facts

NPI
1669837464
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
TMC PROVIDER GROUP PLLC
Practice address
8519 State Highway 151
San Antonio, TX 78245-2493
Phone
(210) 682-5577
Fax
(210) 647-5566
NPI assigned
Dec 21, 2015
Organization subpart
No

Authorized official

Name
Erica Hauser
Title
President
Phone
(312) 590-5372

Other NPIs on the same Medicare enrollment 25

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

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1107712Texas Medclinic PLCC
8519 State Highway 151, San Antonio, TX 78245		Provider-performed microscopyNov 11, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

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…

National Provider Directory

Locations

1922 State Highway 46 W
New Braunfels, TX 78132
Phone (210) 349-5577

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X F0031 TX
Urgent Care Clinic/Center 261QU0200X Yes

Addresses

Primary practice location

8519 State Highway 151
San Antonio, TX 78245-2493

Mailing address

PO Box 4165
Portland, OR 97208-4165
Phone (210) 349-5577

Other names

  • Texas MedClinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 21, 2023.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1669837464",
    "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": "8519 STATE HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452493",
            "telephone_number": "210-682-5577",
            "fax_number": "210-647-5566"
        }
    ],
    "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F0031",
            "primary": false
        },
        {
            "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"
        },
        {
            "organization_name": "Texas MedClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

All providers in San Antonio, TX · Urgent Care Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.