Organization
TMC PROVIDER GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA HAUSER (PRESIDENT)
(312) 590-5372
Entity
Organization
Contact information
Practice address
9207 N LOOP 1604 W, SAN ANTONIO, TX 78249-2513
(210) 695-4884
(210) 695-4949
Mailing address
PO BOX 4165, PORTLAND, OR 97208-4165
(210) 349-5577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
03/21/2023
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