TEXAS MEDCLINIC
NPI 1376908178
Clinic/Center - Urgent Care in Round Rock, TX

NPI Status: Active since December 21, 2015

Contact Information

4851 N IH 35
ROUND ROCK, TX
ZIP 78664
Phone: (512) 486-6140
Fax: (512) 863-4285

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 45D2136996
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-18-2025

About TEXAS MEDCLINIC

This page provides the complete NPI Profile along with additional information for Texas Medclinic, a provider established in Round Rock, Texas operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1376908178 assigned on December 2015. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Texas Medclinic. The authorized official of this NPI record is Erica Hauser (President)

NPI
1376908178
Provider Legal Name
TMC PROVIDER GROUP PLLC
Other Organization Name
TEXAS MEDCLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4851 N IH 35 ROUND ROCK, TX 78664
Location Phone
(512) 486-6140
Location Fax
(512) 863-4285
Mailing Address
PO BOX 4165 PORTLAND, OR 97208
Mailing Phone
(210) 349-5577
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2015
Last Update Date
03-21-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

F0031 (TX)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERICA HAUSER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(312) 590-5372

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2136996
Facility Type
Physician Office
Certificate Effective Date
September 19, 2023
Certificate Expiration Date
September 18, 2025
Laboratory Director
JAMES L. BUGG III
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Texas Medclinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376908178
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2314618016114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 8 + 0 + 1 + 6 + 1 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1376908178 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376908178, enumerated as an "organization" on December 21, 2015.

The provider is located at 4851 N IH 35 ROUND ROCK, TX 78664 and the phone number is (512) 486-6140.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.