Provider Demographics
NPI:1619636271
Name:TEXAS HEALTH URGENT CARE
Entity Type:Organization
Organization Name:TEXAS HEALTH URGENT CARE
Other - Org Name:TEXAS HEALTH BREEZE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT, AMBULATORY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-782-8007
Mailing Address - Street 1:5252 GOLDEN TRIANGLE BLVD.
Mailing Address - Street 2:SUITE 500
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-3202
Mailing Address - Country:US
Mailing Address - Phone:682-212-9134
Mailing Address - Fax:682-212-0734
Practice Address - Street 1:5252 GOLDEN TRIANGLE BLVD.
Practice Address - Street 2:SUITE 500
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-3202
Practice Address - Country:US
Practice Address - Phone:682-212-9134
Practice Address - Fax:682-212-0734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care