MEDICARE: TMC ORTHOPEDIC LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	0070315	TX
2	335E00000X	Prosthetic/Orthotic Supplier	101126	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598889941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMC ORTHOPEDIC LP

Provider Business Mailing Address
First Line	:	PO BOX 650846
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0846
Country	:	US
Telephone Number	:	713-669-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 HIGHWAY 242
Second Line	:	STE 100
City	:	CONROE
State	:	TX
Zip	:	77385-4360
Country	:	US
Telephone Number	:	936-271-2022
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF REIMBURSEMENT
Name	:	MS. SHERYL PRICE
Credential	:
Telephone Number	:	503-493-8288

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	02/19/2014

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Directions to “TMC ORTHOPEDIC LP ” Practice Location

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