NPIMap

Organization Active NPI

Texas Health Urgent Care

Doing business as Texas Health Breeze Urgent Care

  • Urgent Care Clinic/Center
  • Mansfield, TX
National Provider Identifier
1063127595
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TEXAS HEALTH URGENT CARE
Doing business as
Texas Health Breeze Urgent Care
Practice address
111 W Debbie LN Ste 101
Mansfield, TX 76063-8940
Phone
(682) 212-9148
NPI assigned
Jan 19, 2023
Last updated
Jan 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Harraid
Title
Authorized Official
Phone
(817) 782-8007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

111 W Debbie LN Ste 101
Mansfield, TX 76063-8940

Mailing address

111 W Debbie LN Ste 101
Mansfield, TX 76063-8940

Other identifiers 1

IdentifierTypeStateIssuer
423426201MedicaidTX

Other names 1

  • Texas Health Breeze Urgent Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2275386Texas Health Breeze Urgent Care111 W Debbie LN Suite 101, Mansfield, TX 76063Certificate of waiverJan 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Texas Health Urgent Care16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1063127595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W DEBBIE LN STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W DEBBIE LN STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638940",
            "telephone_number": "682-212-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "HARRAID",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-782-8007"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423426201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Health Breeze Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.