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

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

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

Practice address

2800 E. Broad Street
Suite 318
Mansfield, TX 76063-6413

Phone

(817) 453-7587

Fax

(817) 336-6013

NPI assigned

Apr 4, 2007

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.

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

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1689796385",
    "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": "2800 E. BROAD STREET",
            "address_2": "SUITE 318",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636413",
            "telephone_number": "817-453-7587",
            "fax_number": "817-336-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH CARE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155109501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel L Terry, LPC
• Caitlin Tesch, LCSW
• Ganana Tesfa, M.D.
• Texas Avanti Medicals
• Texas Health Care, P.L.L.C.
• Texas Health Hospital Mansfield
• Texas Health Huguley, Inc
• Texas Health Recovery and Wellness Center
• Texas Health Recovery and Wellness Center
• Texas Health Recovery and Wellness Center

• Surgery Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Surgery Physician in Texas

• 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.

Verify at the official NPI Registry.