NPIMap

Organization Active NPI

Texas Health Urgent Care

Doing business as Texas Health Breeze Urgent Care

  • Urgent Care Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1356066617
Registry record updated Oct 10, 2022
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
5937 Donnelly Ave
Fort Worth, TX 76107-5811
Phone
(469) 495-9142
NPI assigned
Oct 10, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Nichole Jeanette Chavez
Title
Manager
Phone
(469) 858-4343

Specialties & licenses 1

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

Addresses

Primary practice location

5937 Donnelly Ave
Fort Worth, TX 76107-5811

Mailing address

9250 Amberton Pkwy
Dallas, TX 75243-3224

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
45D2271091Texas Health Breeze Urgent Care5937 Donnelly Rd, Fort Worth, TX 76107Certificate of waiverOct 26, 2026

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

Locations

5937 Donnelly Ave
Fort Worth, TX 76107
Phone (469) 495-9142

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1356066617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 AMBERTON PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 DONNELLY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075811",
            "telephone_number": "469-495-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-858-4343"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "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 Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.