Healthcare Provider Details

I. General information

NPI: 1689798050
Provider Name (Legal Business Name): TMC ORTHOPEDIC, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 04/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 US HIGHWAY 90A SUITE 150
SUGAR LAND TX
77478-3355
US

IV. Provider business mailing address

1000 SOUTH LOOP WEST SUITE150
HOUSTON TX
77054-4658
US

V. Phone/Fax

Practice location:
  • Phone: 281-242-2118
  • Fax: 281-242-2119
Mailing address:
  • Phone: 713-669-1800
  • Fax: 713-669-8330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number0040104
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number101320
License Number StateTX

VIII. Authorized Official

Name: MR. WILLIAM E MATTHEWS V
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 713-669-1800