Active NPI
TMC Clinic
- Sleep Medicine (Internal Medicine) Physician
- Montgomery, TX
National Provider Identifier
1700103751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- M2829
- Legal business name
- TMC CLINIC
- Practice address
- 123 Blue Heron Dr
Suite 102
Montgomery, TX 77316-3192 - Phone
- (936) 582-1112
- Fax
- (936) 582-1151
- NPI assigned
- Apr 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cortnie Wellman, BS, RPSGT
- Title
- General Manager
- Phone
- (936) 582-1112
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | M2829 | TX | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | M2829 | TX | Primary |
Addresses
Primary practice location
123 Blue Heron Dr
Suite 102
Montgomery, TX 77316-3192
Mailing address
123 Blue Heron Dr
Suite 102
Montgomery, TX 77316-3192
Phone (936) 582-1112
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272585600000",
"number": "1700103751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BLUE HERON DR",
"address_2": "SUITE 102",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773163192",
"telephone_number": "936-582-1112",
"fax_number": "936-582-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 BLUE HERON DR",
"address_2": "SUITE 102",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773163192",
"telephone_number": "936-582-1112",
"fax_number": "936-582-1151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TMC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-30",
"last_updated": "2010-04-30",
"status": "A",
"authorized_official_last_name": "WELLMAN",
"authorized_official_first_name": "CORTNIE",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "936-582-1112",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BS, RPSGT"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "M2829",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "TX",
"license": "M2829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.