Healthcare Provider Details

I. General information

NPI: 1629820519
Provider Name (Legal Business Name): URGENT CARE CLINICS OF NORTH TEXAS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 DENTON HWY
WATAUGA TX
76148-3023
US

IV. Provider business mailing address

6200 DENTON HWY
WATAUGA TX
76148-3023
US

V. Phone/Fax

Practice location:
  • Phone: 817-849-2395
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VAUGHN BROZEK
Title or Position: OWNER
Credential: FNP
Phone: 817-849-2395