Organization Active NPI

MD First Watch Healthcare PLLC

  • Urgent Care Clinic/Center
  • Keller, TX
National Provider Identifier
1760900997
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
Q2093 Issued in TX
Legal business name
MD FIRST WATCH HEALTHCARE PLLC
Practice address
310 Keller Parkway
Keller, TX 76248
Phone
(817) 845-5071
NPI assigned
Sep 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Uni Espinoza
Title
Credentialing Clerk
Phone
(817) 845-5071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Q2093 TX Primary

Addresses

Primary practice location

310 Keller Parkway
Keller, TX 76248

Mailing address

310 Keller Parkway
Keller, TX 76248
Phone (817) 845-5071

Other identifiers 1

IdentifierTypeStateIssuer
Q2093OtherMEDICAL LICENSE

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
45D2150277MD First Watch310 Keller Parkway, Keller, TX 76248Certificate of waiverJun 20, 2028

National Provider Directory

National Provider Directory

Locations

310 Keller Pkwy
Keller, TX 76248
Phone (817) 562-4210

Practitioners & affiliated clinicians

Practitioners 3

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": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760900997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 KELLER PARKWAY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "817-845-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 KELLER PARKWAY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "817-845-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD FIRST WATCH HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "UNI",
        "authorized_official_title_or_position": "CREDENTIALING CLERK",
        "authorized_official_telephone_number": "817-845-5071"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "Q2093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "Q2093",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.