# TMC PROVIDER GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TMC PROVIDER GROUP PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598120388
- **Legal business name:** TMC PROVIDER GROUP PLLC
- **Authorized official:** ERICA HAUSER (PRESIDENT)
- **Authorized official phone:** (312) 590-5372

## Contact information

- **Practice address:** 1007 NE LOOP 410, SAN ANTONIO, TX 78209-1205
- **Practice address phone:** (210) 821-5598
- **Practice address fax:** (210) 829-0125
- **Mailing address:** PO BOX 4165, PORTLAND, OR 97208-4165
- **Mailing address phone:** (210) 349-5577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | F0031 | TX | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2015
- **Last updated:** 03/21/2023