Active NPI
Texas Health Care PLLC
- Interventional Pain Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- TEXAS HEALTH CARE PLLC
- Practice address
- 7100 Oakmont Blvd Ste 205
Fort Worth, TX 76132-3908 - Phone
- (817) 558-4600
- Fax
- (817) 558-4602
- NPI assigned
- Mar 1, 2021
- 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, MD
- Title
- Ceo
- 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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
7100 Oakmont Blvd Ste 205
Fort Worth, TX 76132-3908
Mailing address
PO Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155109506 | Medicaid | TX |
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 |
|---|---|---|---|
| 45D2286131 | Texas Health Care, PLLC | Provider-performed microscopy | Jul 24, 2027 |
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.
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- 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": "1614556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1851985931",
"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": "817-740-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 OAKMONT BLVD STE 205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323908",
"telephone_number": "817-558-4600",
"fax_number": "817-558-4602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS HEALTH CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-01",
"last_updated": "2021-03-01",
"certification_date": "2021-02-23",
"status": "A",
"authorized_official_last_name": "TATUM",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-740-8400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155109506",
"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 Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.