Active NPI
Texas Health Care, PLLC
- Orthopaedic Surgery Physician
- Weatherford, TX
National Provider Identifier
1184491540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- TEXAS HEALTH CARE, PLLC
- Practice address
- 1711 Martin Dr Ste 200
Weatherford, TX 76086-6738 - Phone
- (817) 335-4316
- Fax
- (817) 338-0342
- NPI assigned
- Dec 6, 2023
- 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, MD
- Title
- Ceo
- Phone
- (817) 740-8400
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X |
Addresses
Primary practice location
1711 Martin Dr Ste 200
Weatherford, TX 76086-6738
Mailing address
PO Box 961205
Fort Worth, TX 76161-0205
Phone (817) 740-8400
Other names 1
- Privia Medical Group North Texas
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2178814 | Texas Health Care Weatherford Primary Care | Certificate of waiver | Feb 9, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701820800000",
"number": "1184491540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 961205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761610205",
"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": "1711 MARTIN DR STE 200",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760866738",
"telephone_number": "817-335-4316",
"fax_number": "817-338-0342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS HEALTH CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A",
"authorized_official_last_name": "TATUM",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-740-8400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Privia Medical Group North Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.