Organization Active NPI

Texas Health Harris Methodist Hospital Azle

  • Ambulatory Surgical Clinic/Center
  • Azle, TX
National Provider Identifier
1154454205
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
000469 Issued in TX
Legal business name
TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE
Practice address
108 Denver TRL
Azle, TX 76020-3614
Phone
(817) 250-2565
Fax
(817) 250-3781
NPI assigned
Mar 14, 2007
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Mr. Bob Ellzey
Title
Ceo/President
Phone
(817) 444-8780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000469 TX Primary

Addresses

Primary practice location

108 Denver TRL
Azle, TX 76020-3614

Mailing address

500 E Border St
Arlington, TX 76010-7445
Phone (817) 570-8500

Other identifiers 1

IdentifierTypeStateIssuer
127304701MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Harris Meth Northwest P3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

500 E Border St
Arlington, TX 76010
Phone (214) 345-7260

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1154454205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E BORDER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760107445",
            "telephone_number": "817-570-8500",
            "fax_number": "682-236-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DENVER TRL",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203614",
            "telephone_number": "817-250-2565",
            "fax_number": "817-250-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "ELLZEY",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "817-444-8780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127304701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.