Organization Active NPI

Texans Health & Wellness Center PLLC

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1457993297
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TEXANS HEALTH & WELLNESS CENTER PLLC
Practice address
4125 Broadway Blvd Ste 120C
Garland, TX 75043-2500
Phone
(972) 303-0861
Fax
(972) 303-0928
NPI assigned
Oct 14, 2019
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Jaye C Krubally, NPNPI 1093132482
Title
Owner
Phone
(972) 303-0861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X
Acute Care Nurse Practitioner 363LA2100X
Adult Health Nurse Practitioner 363LA2200X
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

4125 Broadway Blvd Ste 120C
Garland, TX 75043-2500

Mailing address

760 Belvedere Park LN
Lucas, TX 75002-8853
Phone (972) 303-0861

Other practice location 1

3705 Lakeview Pkwy Ste 215
Rowlett, TX 75088-4179
Phone (972) 840-6500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191203002661 TX Part B Supplier - Clinic/Group Practice 9133552227 Receives reassigned benefits from 3 practitioners
Practice locations: Garland, TX; Rowlett, TX; Irving, TX

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
45D0721056Texans Health & Wellness Center4125 Broadway Blvd Suite 120C, Garland, TX 75043Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Texans Health and Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4125 Broadway Blvd
Ste 120
Garland, TX 75043
Phone (972) 303-0861

3705 Lakeview Pkwy
Rowlett, TX 75088
Phone (214) 319-8706

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1457993297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BELVEDERE PARK LN",
            "city": "LUCAS",
            "state": "TX",
            "postal_code": "750028853",
            "telephone_number": "972-303-0861",
            "fax_number": "972-303-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 BROADWAY BLVD STE 120C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432500",
            "telephone_number": "972-303-0861",
            "fax_number": "972-303-0928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 Lakeview Pkwy Ste 215",
            "address_purpose": "LOCATION",
            "city": "Rowlett",
            "state": "TX",
            "postal_code": "750884179",
            "country_code": "US",
            "telephone_number": "972-840-6500",
            "fax_number": "972-840-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXANS HEALTH & WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "KRUBALLY",
        "authorized_official_first_name": "JAYE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-303-0861",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.