Organization
TMC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORTNIE WELLMAN BS, RPSGT (GENERAL MANAGER)
(936) 582-1112
Entity
Organization
Contact information
Practice address
123 BLUE HERON DR, SUITE 102, MONTGOMERY, TX 77316-3192
(936) 582-1112
(936) 582-1151
Mailing address
123 BLUE HERON DR, SUITE 102, MONTGOMERY, TX 77316-3192
(936) 582-1112
(936) 582-1151
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
M2829
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
M2829
TX
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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