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Contact Information

TMC CLINIC
123 BLUE HERON DR
SUITE 102
MONTGOMERY, TX77316-3192
 Phone: 936-582-1112
 Fax: 936-582-1151
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TMC CLINIC

NPI # 1700103751
LBN Legal business name TMC CLINIC
Authorized official CORTNIE WELLMAN - (GENERAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/30/2010
Last updated 04/30/2010 - About 16 years ago
Identifiers
TX License # M2829
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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