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VINE URGENT CARE PLLC
NPI 1336746080
Clinic/Center - Urgent Care in Fort Worth, TX

Active since October 06, 2020CLIA 45D2217263 · Waiver
1661 EASTCHASE PKWY, FORT WORTH, TX 76120(682) 250-5700(682) 250-5705 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vine Urgent Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINE URGENT CARE PLLC (NPI 1336746080) is a healthcare organization registered as an urgent care in Fort Worth, Texas and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through March 18, 2027, maintains 2 additional practice locations, and lists Ehab Hanna, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1336746080
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameVINE URGENT CARE PLLC
Location Address1661 EASTCHASE PKWYFort Worth, TX 76120-4407
Mailing Address6251 Oakmont BlvdFort Worth, TX 76132-3119 · (682) 250-5700 · Fax (682) 250-5705
Phone(682) 250-5700
Fax(682) 250-5705
Organization SubpartNo
Authorized OfficialEhab HannaSole Mbr · (682) 250-5700
Enumeration DateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1336746080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1661 EASTCHASE PKWY, Fort Worth, TX 76120
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16251 Oakmont BlvdFort Worth, TX 76132-3119 · Phone (682) 250-5700 · Fax (682) 250-5705
Location 2921 E Fm 1187 Ste ACrowley, TX 76036-4364 · Phone (817) 945-1682 · Fax (817) 297-4181

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2217263

Vine Urgent Care, PLLC · Fort Worth, TX
Active · expires Mar 18, 2027
CLIA Number45D2217263
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorEhab I. Hanna
Laboratory Phone(817) 449-2555
Laboratory LocationVine Urgent Care, PLLC1661 Eastchase Pkwy, Fort Worth, TX 76120
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELLEN DAHL
Family Medicine
1661 EASTCHASE PKWY
FORT WORTH, TX 76120
Tarrant County (817) 459-2005
JOYCE BOTCHEY-NIIQUAYE FNP
Nurse Practitioner (Family)
1661 EASTCHASE PKWY
FORT WORTH, TX 76120
Tarrant County (817) 459-2005
EVERARDO CHRISTIAN SILVA PA-C
Physician Assistant
1661 EASTCHASE PKWY
FORT WORTH, TX 76120
Tarrant County (817) 459-2005
MS. SARAH THOMPSON PA-C
Physician Assistant (Medical)
1661 EASTCHASE PKWY
FORT WORTH, TX 76120
Tarrant County (817) 690-5853
TIMMY NOVAK
Physician Assistant
1661 EASTCHASE PKWY
FORT WORTH, TX 76120
Tarrant County (817) 459-2005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vine Urgent Care PLLC's NPI number?

The NPI number for Vine Urgent Care PLLC is 1336746080. It was assigned to this organization in the NPPES registry on October 6, 2020.

Where is Vine Urgent Care PLLC located?

Vine Urgent Care PLLC is located at 1661 Eastchase Pkwy, Fort Worth, TX 76120. The listed phone number is (682) 250-5700.

What is Vine Urgent Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Vine Urgent Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2217263) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vine Urgent Care PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Vine Urgent Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vine Urgent Care PLLC was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.