NPIMap

Organization Active NPI

Texas Health Urgent Care

  • Urgent Care Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1619636271
Registry record updated Dec 21, 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
5252 Golden Triangle Blvd.
Suite 500
Fort Worth, TX 76244-3202
Phone
(682) 212-9134
Fax
(682) 212-0734
NPI assigned
Dec 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

5252 Golden Triangle Blvd.
Suite 500
Fort Worth, TX 76244-3202

Mailing address

5252 Golden Triangle Blvd.
Suite 500
Fort Worth, TX 76244-3202
Phone (682) 212-9134

Other names 1

  • TEXAS HEALTH BREEZE URGENT CARE Doing business as

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…

Other NPIs on the same Medicare enrollment 18

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

View all 18

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
45D2244195Texas Health Breeze Urgent Care5252 Golden Triangle Blvd Suite 500, Fort Worth, TX 76244Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

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": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1619636271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 GOLDEN TRIANGLE BLVD.",
            "address_2": "SUITE 500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762443202",
            "telephone_number": "682-212-9134",
            "fax_number": "682-212-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 GOLDEN TRIANGLE BLVD.",
            "address_2": "SUITE 500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762443202",
            "telephone_number": "682-212-9134",
            "fax_number": "682-212-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-20",
        "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"
        },
        {
            "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 Dec 21, 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.