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NPI 1649635442
● Active Type 2 · Organization
Tmc Provider Group Pllc
Clinic/Center · Austin, TX · NPI 1649635442
·
Enumerated 2015 · 10 years on NPI
Tmc Provider Group Pllc is 1 of 1205 clinic/center organizations in Texas.
NPI age
10 years
Enumerated 2015-12-21
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hauser
President
Last NPPES update
2025-02-26
Source: monthly bulk 2026-05
How this organization compares
Across 1205 active clinic/center providers in Texas.
NPI age
10 years
≈ at median (9 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-12 Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
12319 N Mopac Expy
Austin, TX 787582414
📞 5128355577 fax 5128360166
Mailing address
Po Box 4165
Portland, OR 972084165
📞 2103495577
Authorized official
Erica Hauser
President
📞 3125905372
Individual providers at this organization
13 individual providers on file at this primary practice address.
Caroline Bach
Physician Assistant
NPI 1063353456
Kaylene Ball , AU.D., CCC-A
Audiologist
NPI 1285160234
Michael Basye , FNP-C
Nurse Practitioner
NPI 1063199016
Sreevidya Bodapati , D.D.S., M.S.
Dentist
NPI 1851582415
Miriam Hanson , M.D.
Dermatology
NPI 1619047339
Adam Mamelak , M.D.
Dermatology
NPI 1174663835
Katherine Serrano
Family Medicine
NPI 1437644853
Balram Sharma , MD
Internal Medicine
NPI 1356607956
George Shashoua , MD
Obstetrics & Gynecology
NPI 1245379551
Koushik Shaw , MD
Urology
NPI 1811954423
Sheila Shung , M.D.
Internal Medicine
NPI 1407839848
Patrick Slater , M.D.
Otolaryngology
NPI 1467440180
Alecia Zuehlke , APRN
Nurse Practitioner
NPI 1568836351
Specialties
Clinic/Center
Primary
Definition to come...
taxonomy 261QU0200X
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
TX license #F0031 taxonomy 207Q00000X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
13 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.