Organization
TMC MANSFIELD, LLC
Active
Other names
1710 Mansfield Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LORI GUERRERO (ADMINISTRATOR)
(972) 294-9666
Entity
Organization
Contact information
Practice address
1710 HIGHWAY 287 N STE 300, MANSFIELD, TX 76063-7631
(972) 294-9666
Mailing address
1845 PRECINCT LINE RD STE 103, HURST, TX 76054-3109
(972) 294-9666
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802982535
STATE FILE NUMBER - SECRETARY OF STATE
TX
Enumeration date
10/02/2018
Last updated
02/23/2021
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