NPIMap

Organization Active NPI

Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • Southlake, TX
National Provider Identifier
1336754753
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TEXAS HEALTH URGENT CARE
Practice address
125 Davis Blvd
Southlake, TX 76092-8209
Phone
(682) 212-9104
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
James Harraid
Title
Vice Prresident, Ambulatory Service
Phone
(817) 782-8007

Specialties & licenses 1

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

Addresses

Primary practice location

125 Davis Blvd
Southlake, TX 76092-8209

Mailing address

125 Davis Blvd
Southlake, TX 76092-8209

Other names 1

  • Texas Health Breeze Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210506000184 TX Part B Supplier - Clinic/Group Practice 0345654414 Receives reassigned benefits from 187 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: McKinney, TX; Fort Worth, TX; Frisco, TX; Heartland, TX; Lewisville, TX; Mansfield, TX; Arlington, TX; Melissa, TX…

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

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
45D2192949Texas Health Breeze Urgent Care125 Davis Blvd, Southlake, TX 76092Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

6411 E Northwest Hwy
Ste 120
Dallas, TX 75231
Phone (469) 495-9110

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1336754753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DAVIS BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DAVIS BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928209",
            "telephone_number": "682-212-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "HARRAID",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRRESIDENT, AMBULATORY SERVICE",
        "authorized_official_telephone_number": "817-782-8007"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Health Breeze Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.