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TMC PROVIDER GROUP PLLC NPI 1417312208


NPI Information

NPI: 1417312208
Provider Name: TMC PROVIDER GROUP PLLC

Doing Business As: TEXAS MEDCLINIC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 45D1034334

Address:
8341 AGORA PKWY
SELMA, TX
ZIP 78154
Phone: (210) 659-5533
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TMC PROVIDER GROUP PLLC is an urgent care clinic center in Selma, TX. TMC PROVIDER GROUP PLLC NPI is 1417312208. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Texas Medclinic.

The provider's business location address is:

8341 AGORA PKWY
SELMA, TX
ZIP 78154-316
Phone: (210) 659-5533
Fax: (210) 659-7755

The provider's authorized official is Erica Hauser .
The authorized official title is President and has the following contact phone number (312) 590-5372.

The CLIA number assigned to this NPI record is 45D1034334 - other - urgent care with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/21/2015 and was last updated on 3/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineF0031TEXASNo
2261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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