Mission Travis Mercy

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

MISSION TRAVIS MERCY

Practice address

775 West Bowie St
Fort Worth, TX 76110

Phone

(817) 840-3501

NPI assigned

Dec 5, 2025

Organization subpart

Yes

Parent organization

MISSION TRAVIS MERCYAs reported in NPPES

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

Authorized official

Name

Celeste Coker, PHARM.D.

Title

Pharmacist in Charge

Phone

(817) 840-3501

Specialties & licenses 1

Addresses

Other names 1

• Mercy Clinic of Fort Worth Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Mission Travis Mercy

Practitioners 3

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

• Albin Abraham

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1750103016
  NPD
• Jonathan Yang-En Chen, MD

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1902470149
  NPD
• Mackenzie Price

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1871153346
  NPD (past)

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1679436703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11557",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761100557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 WEST BOWIE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76110",
            "telephone_number": "817-840-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION TRAVIS MERCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION TRAVIS MERCY",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "817-840-3501",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic of Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gennady G Miroshnichenko, MD
• Ambir Rauf Mirza, MD
• Angela Sadat Mirzadeh, DO
• Akberet Girmay Misgna
• Regbe Misgna
• Mitch Conditt DDS PLLC
• Kelli Susan Mitchell-Wyatt, LMSW
• Abigail Mitchell, DC
• Courtney Mitchell, M.D.
• Curtis Matthew Mitchell, M.D.

• Clinic Pharmacy in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinic Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.