Organization Active NPI

Momentum Urgent Care, PLLC

Doing business as Momentum Urgent Care

  • Urgent Care Clinic/Center
  • Tyler, TX
National Provider Identifier
1396044525
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
L8019 Issued in TX
Legal business name
MOMENTUM URGENT CARE, PLLC
Doing business as
Momentum Urgent Care
Practice address
5011 Troup Hwy
Suite 200
Tyler, TX 75707-1917
Phone
(903) 216-7180
NPI assigned
Mar 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Dr. Benjamin Jesse Constante, M.D.
Title
President
Phone
(903) 216-7180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X L8019 TX Primary

Addresses

Primary practice location

5011 Troup Hwy
Suite 200
Tyler, TX 75707-1917

Mailing address

PO Box 578
Bullard, TX 75757-0578

Other names 1

  • Momentum Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

5011 Troup Hwy
Tyler, TX 75707
Phone (903) 617-6727

5011 Troup Hwy
Ste 200
Tyler, TX 75707
Phone (903) 216-7180

Practitioners & affiliated clinicians

Practitioners 1

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": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1396044525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757570578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 TROUP HWY",
            "address_2": "SUITE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071917",
            "telephone_number": "903-216-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "CONSTANTE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-216-7180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "L8019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.