Texas Health Care, P.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TEXAS HEALTH CARE, P.L.L.C.

Practice address

1209 College Ave.
Fort Worth, TX 76104-4516

Phone

(817) 348-9569

Fax

(817) 348-9579

NPI assigned

Jan 8, 2007

Last updated

Jul 2, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry D. Tatum, M.D.NPI 1437195609

Title

C.E.O.

Phone

(817) 740-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

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.

• Larry D Tatum, MD

  • Gynecology Physician
  • Fort Worth, TX
  • NPI 1437195609
  Authorized official Same address or phone
• Liberty McIntosh

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1851997449
  NPD (past)
• Elizabeth Ramirez, APRN FNP-BC

  • Primary Care Nurse Practitioner
  • Fort Worth, TX
  • NPI 1407525777
  NPD (past)
• Michelle Torres, MD

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1316964919
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1285782383",
    "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": "817-348-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 COLLEGE AVE.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044516",
            "telephone_number": "817-348-9569",
            "fax_number": "817-348-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH CARE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-07-02",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155109501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Health Care, P.L.L.C.
• Texas Health Care, P.L.L.C.
• Texas Health Care, P.L.L.C.
• Texas Health Care, P.L.L.C.
• Texas Health Care, P.L.L.C.
• Texas Health Care, P.L.L.C.
• Texas Health Care, P.L.L.C.
• Texas Health Care, P.L.L.C.
• Texas Health Care, P.L.L.C.
• Texas Health Care, P.L.L.C.

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.

Verify at the official NPI Registry.