Active NPI
Texas Health Care, P.L.L.C.
- Orthopaedic Surgery Physician
- Fort Worth, TX
National Provider Identifier
1851629505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- TEXAS HEALTH CARE, P.L.L.C.
- Practice address
- 801 W. Terrell Ave.
Fort Worth, TX 76104-3100 - Phone
- (817) 877-3277
- Fax
- (817) 877-3280
- NPI assigned
- Nov 18, 2009
- Last updated
- Oct 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | NU |
Addresses
Primary practice location
801 W. Terrell Ave.
Fort Worth, TX 76104-3100
Mailing address
P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155109501 | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318636800000",
"number": "1851629505",
"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": "801 W. TERRELL AVE.",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043100",
"telephone_number": "817-877-3277",
"fax_number": "817-877-3280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS HEALTH CARE, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-18",
"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": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155109501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- 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.