Tmc Mansfield, LLC
Special Hospital in Mansfield, TX. Organization (NPI-2).
NPI number1396220604
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1396220604
- Entity type
- Organization (NPI-2)
- Legal business name
- Tmc Mansfield, LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2018
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 284300000X | Special Hospital | – | – | Yes |
| 282N00000X | General Acute Care Hospital | – | – |
Other names
- 1710 Mansfield Medical Group (Former Legal Business Name)
Practice location
1710 Highway 287 N Ste 300Mansfield, TX 76063-7631
Phone 972-294-9666
Mailing address
1845 Precinct Line Rd Ste 103Hurst, TX 76054-3109
Phone 972-294-9666
Authorized official
Lori Guerrero
Administrator
9722949666
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