Active NPI
Texas Health Care, P.L.L.C.
- Surgery Physician
- Burleson, TX
National Provider Identifier
1164589941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- TEXAS HEALTH CARE, P.L.L.C.
- Practice address
- 11803 South Freeway
Suite 211
Burleson, TX 76028-7030 - Phone
- (817) 336-6012
- Fax
- (817) 336-6013
- NPI assigned
- Jan 2, 2007
- Last updated
- Oct 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry D. Tatum, M.D.
- Title
- C.E.O.
- Phone
- (817) 740-8400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
11803 South Freeway
Suite 211
Burleson, TX 76028-7030
Mailing address
P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000388 | TX | Part B Supplier - Clinic/Group Practice | 7214840867 |
Receives reassigned benefits from 544 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Gynecology Physician
- Fort Worth, TX
- NPI 1437195609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318636800000",
"number": "1164589941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 961205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761611205",
"telephone_number": "817-740-8400",
"fax_number": "817-378-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11803 SOUTH FREEWAY",
"address_2": "SUITE 211",
"city": "BURLESON",
"state": "TX",
"postal_code": "760287030",
"telephone_number": "817-336-6012",
"fax_number": "817-336-6013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS HEALTH CARE, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2011-10-15",
"status": "A",
"authorized_official_last_name": "TATUM",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "817-740-8400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
- Brittany Taylor
- Hannah Taylor
- Jahanara Nina Taylor, DHA, MSPH, MSN,FNP-C
- Natalie Christine Taylor, APRN-CRNA
- Bonnie Ann Tesseyman, M.S. CCC-SLP
- Texas Health Care, P.L.L.C.
- Texas Health Huguley Surgery Center, LLC (Texas Health Huguley Surgery Center)
- Texas Health Huguley, Inc (Cardiology Physicians of Huguley)
- Texas Health Huguley, Inc (Texas Health Huguley Hospital Fort Worth South)
- Texas Health Huguley, Inc (Texas Health Huguley Hospital Fort Worth South)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.