# TMC CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700103751
- **Authorized official:** MRS. CORTNIE WELLMAN BS, RPSGT (GENERAL MANAGER)
- **Authorized official phone:** (936) 582-1112

## Contact information

- **Practice address:** 123 BLUE HERON DR, SUITE 102, MONTGOMERY, TX 77316-3192
- **Practice address phone:** (936) 582-1112
- **Practice address fax:** (936) 582-1151
- **Mailing address:** 123 BLUE HERON DR, SUITE 102, MONTGOMERY, TX 77316-3192
- **Mailing address phone:** (936) 582-1112
- **Mailing address fax:** (936) 582-1151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | M2829 | TX | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | M2829 | TX | Yes |

## Other

- **Enumeration date:** 04/30/2010
- **Last updated:** 04/30/2010