VINE URGENT CARE PLLC (NPI# 1336746080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336746080 |
| Entity Type | Organization |
| Organization Name | VINE URGENT CARE PLLC |
| Practice Address |
1661 Eastchase Pkwy Fort Worth TX 76120-4407 |
| Mailing Address |
6251 Oakmont Blvd Fort Worth TX 76132-3119 |
| Practice Telephone | 6822505700 |
| Practice Fax Number | 6822505705 |
| Mailing Telephone | 6822505700 |
| Mailing Fax Number | 6822505705 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | DR. EHAB HANNA (SOLE MBR) |
| Authorized Official Telephone | 6822505700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 921 E Fm 1187 Ste A, Crowley, TX 760364364 | 8179451682 | 8172974181 |
| 6251 Oakmont Blvd, Fort Worth, TX 761323119 | 6822505700 | 6822505705 |
| Street Address |
1661 EASTCHASE PKWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76120-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053486845 | Ellen Dahl | Family Medicine | 1661 Eastchase Pkwy, Fort Worth, TX 76120-4407 | 2006-11-21 |
| 1225587678 | Everardo Christian Silva | Physician Assistant | 1661 Eastchase Pkwy, Fort Worth, TX 76120-4407 | 2016-09-27 |
| 1225417561 | Joyce Botchey-niiquaye | Registered Nurse | 1661 Eastchase Pkwy, Fort Worth, TX 76120-4407 | 2015-05-19 |
| 1679914188 | Timmy Novak | Physician Assistant | 1661 Eastchase Pkwy, Fort Worth, TX 76120-4407 | 2013-07-12 |
| 1508177122 | Sarah Thompson | Physician Assistant | 1661 Eastchase Pkwy, Fort Worth, TX 76120-4407 | 2010-06-29 |
| 1821321902 | Suzanne Marie Tolbert | Family Medicine | 1661 Eastchase Pkwy, Fort Worth, TX 76120-4407 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104328673 | Kushum Pokharel | Nurse Practitioner | 9036 Sunridge Circle Apt 236, Fort Worth, TX 76120 | 2018-03-01 |
| 1033636865 | Ehc Institutional LLC | Clinic/Center | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-08-23 |
| 1205352770 | Jessica Racheel Ferguson | Counselor | 2684 Gardendale Drive, Fort Worth, TX 76120 | 2017-08-16 |
| 1114313772 | John Allen Baker | Registered Nurse | 809 Newport Rd, Fort Worth, TX 76120 | 2015-04-10 |
| 1629475637 | Marklin Holdings Pllc | Dentist | 1476 Eastchase Pkwy, Fort Worth, TX 76120 | 2014-11-20 |
| 1730223793 | Positive Health Managment, Inc. | Clinic/Center | 6816 Manhattan Blvd, Fort Worth, TX 76120 | 2007-02-16 |
| 1487677357 | Fine Spine LLC | Family Medicine | 709 East Loop 820, Fort Worth, TX 76120 | 2006-07-25 |
| 1720045784 | Josie Elizabeth Estes | Psychiatry & Neurology | 7525 John T White, Fort Worth, TX 76120 | 2006-04-26 |
| 1841271772 | Theresa Kellam | Psychologist | 2201 Dottie Lynn Parkway, Suite 127, Fort Worth, TX 76120 | 2005-11-08 |
| 1891208088 | Professional Ehc Eastchase LLC | Emergency Medicine | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-11-09 |
| Find all providers in zip 76120 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554548 | Quikcare Urgent Care LLC | Clinic/Center | 12485 Timberland Blvd, Fort Worth, TX 76244-5598 | 2018-07-13 |
| 1467990630 | Cec Lakeway Urgent Care Physicians | Clinic/Center | 1900 W. Everman Parway, Fort Worth, TX 76134-4326 | 2017-02-07 |
| 1760928022 | Medspring of Texas Pa | Clinic/Center | 3701 Vision Dr, #101, Fort Worth, TX 76109-1182 | 2017-01-11 |
| 1043685704 | Medspring of Texas Pa | Clinic/Center | 8901 North Fwy, Fort Worth, TX 76177-7613 | 2015-12-07 |
| 1407224850 | Cd Urgent Care Center 5, Pllc | Clinic/Center | 3020 W 7th St, Suite 210, Fort Worth, TX 76107-9202 | 2015-09-02 |
| 1700075439 | American Current Care, P.a. | Clinic/Center | 2500 West Frwy, Suite 100, Fort Worth, TX 76102 | 2007-10-18 |
| 1093215477 | Cook Children's Medical Center | Clinic/Center | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2018-02-13 |
| 1225570443 | Pediatric Urgent Care Center of Fort Worth, Pa | Clinic/Center | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177-8605 | 2016-11-07 |
| 1255882411 | Cook Children's Physician Network | Clinic/Center | 801 7th Ave, Fort Worth, TX 76104-2733 | 2016-10-21 |
| 1255799334 | Cook Children's Medical Center | Clinic/Center | 10601 N Riverside Dr, Fort Worth, TX 76244-2118 | 2016-02-04 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76120 |
Please comment or provide details below to improve the information on VINE URGENT CARE PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.