Active NPI
Texas Health Care, P.L.L.C.
- Nephrology Physician
- Weatherford, TX
National Provider Identifier
1780741660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- TEXAS HEALTH CARE, P.L.L.C.
- Practice address
- 920 Santa Fe
#103
Weatherford, TX 76086-5865 - Phone
- (817) 339-8855
- Fax
- (817) 339-8889
- NPI assigned
- Jan 2, 2007
- 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
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
920 Santa Fe
#103
Weatherford, TX 76086-5865
Mailing address
PO Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154920601 | Medicaid | TX |
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 DirectoryNPI 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": "1317340800000",
"number": "1780741660",
"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": "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": "920 SANTA FE",
"address_2": "#103",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865865",
"telephone_number": "817-339-8855",
"fax_number": "817-339-8889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS HEALTH CARE, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2011-09-30",
"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": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154920601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, TX
- Leanne Taylor, LPC-ASSOCIATE
- Jamie Temple
- Melissa Ann Terry
- Texas Dental Health Professionals, P.C. (MyDentist-Weatherford TX)
- Texas Diabetes and Thyroid Clinic P.a.
- Texas Health Care, PLLC (Privia Medical Group North Texas)
- Texas Health Urgent Care (Texas Health Breeze Urgent Care)
- Texas Home Health Skilled Services, L.P. (AccentCare Home Health of Texas)
- Texas Orthopaedic Associates, LLP (Texas Orthopaedic Associates)
- Alayna Paige Thames, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.