Active NPI
Momentum Urgent Care, PLLC
Doing business as Momentum Urgent Care
- Urgent Care Clinic/Center
- Tyler, TX
National Provider Identifier
1396044525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- L8019
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Tyler, TX
- NPI 1760680953
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.