Organization Active NPI

TMC Provider Group, PLLC

  • Urgent Care Clinic/Center
  • New Braunfels, TX
National Provider Identifier
1952820599
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
Practice address
1922 S. State Hwy 46
New Braunfels, TX 78216
Phone
(210) 349-5577
Fax
(210) 491-2868
NPI assigned
Sep 14, 2017
Organization subpart
Yes
Parent organization
TMC PROVIDER GROUP, PLLCAs reported in NPPES

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X F0031 TX
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1922 S. State Hwy 46
New Braunfels, TX 78216

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1053784660OtherTXURGENT CARE

Other names 1

  • Texas MedClinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

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…
O20180213002410 TX DME Supplier - Physician - Emergency Medicine 6305149121 Practice locations: New Braunfels, TX

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 25

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

View all 25

National Provider Directory

National Provider Directory
Part of
TMC Provider Group PLLC

Locations

9207 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 695-4884

335 W Loop 1604 S
San Antonio, TX 78245
Phone (210) 349-5577

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1952820599",
    "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": "1922 S. STATE HWY 46",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-349-5577",
            "fax_number": "210-491-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC PROVIDER GROUP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TMC PROVIDER GROUP, PLLC",
        "enumeration_date": "2017-09-14",
        "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": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F0031",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "URGENT CARE",
            "identifier": "1053784660",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas MedClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Braunfels, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.