Active NPI
Texas Health Care, P.L.L.C.
- Obstetrics & Gynecology Physician
- Haltom City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- TEXAS HEALTH CARE, P.L.L.C.
- Practice address
- 6200 North Beach Street
Suite 101
Haltom City, TX 76137-2614 - Phone
- (817) 847-4600
- Fax
- (817) 847-4599
- NPI assigned
- Jan 4, 2007
- Last updated
- Feb 29, 2012
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
6200 North Beach Street
Suite 101
Haltom City, TX 76137-2614
Mailing address
P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155109501 | Medicaid | TX | |
| 45D0970891 | Other | TX | CLIA |
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 |
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 |
|---|---|---|---|
| 45D0970891 | Texas Health Care, PLLC | Provider-performed microscopy | Feb 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
6320 Southwest Blvd
Ste 200
Benbrook, TX 76109
Phone (817) 766-5500
Practitioners & affiliated clinicians
Practitioners 42
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
-
- Family Nurse Practitioner
- Mansfield, TX
- NPI 1639823198
-
- Family Medicine Physician
- Hurst, TX
- NPI 1659684892
-
- Family Nurse Practitioner
- Denton, TX
- NPI 1487251765
-
- Otolaryngology Physician
- Granbury, TX
- NPI 1881672285
-
- Physician Assistant
- Fort Worth, TX
- NPI 1528467875
-
- Physician Assistant
- Fort Worth, TX
- NPI 1760814719
-
- Family Nurse Practitioner
- Willow Park, TX
- NPI 1417430018
-
- Obstetrics & Gynecology Physician
- Celina, TX
- NPI 1639373434
-
- Adult Health Nurse Practitioner
- Cleburne, TX
- NPI 1740006337
-
- Physician Assistant
- Garland, TX
- NPI 1174190094
-
- Physician Assistant
- Fort Worth, TX
- NPI 1043966039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330473600000",
"number": "1821145764",
"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": "6200 NORTH BEACH STREET",
"address_2": "SUITE 101",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761372614",
"telephone_number": "817-847-4600",
"fax_number": "817-847-4599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS HEALTH CARE, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2012-02-29",
"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": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155109501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "45D0970891",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haltom City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.