Organization Active NPI

Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • Coppell, TX
National Provider Identifier
1609459668
Registry record updated Apr 28, 2021
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
130 N Denton Tap Rd Ste 140
Coppell, TX 75019-2155
Phone
(469) 495-9130
NPI assigned
Apr 28, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
James Harraid
Title
Vice President, Ambulatory Services
Phone
(817) 782-8007

Other NPIs on the same Medicare enrollment 18

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

View all 18

Practitioners 3

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

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
45D2223845Texas Health Breeze Urgent Care130 N Denton Tap Rd Suite 140, Coppell, TX 75019Certificate of waiverMay 9, 2027

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…

National Provider Directory

National Provider Directory

Locations

5252 Golden Triangle Blvd
Ste 500
Fort Worth, TX 76244
Phone (682) 212-9134

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

130 N Denton Tap Rd Ste 140
Coppell, TX 75019-2155

Mailing address

130 N Denton Tap Rd Ste 140
Coppell, TX 75019-2155
Phone (469) 495-9130

Other names 1

NPPES NPI Registry
  • Texas Health Breeze Urgent Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2021.

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1609459668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N DENTON TAP RD STE 140",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192155",
            "telephone_number": "469-495-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N DENTON TAP RD STE 140",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192155",
            "telephone_number": "469-495-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "HARRAID",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT, AMBULATORY SERVICES",
        "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 Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.