Active NPI
Texas Health Care, P.L.L.C.
- Obstetrics & Gynecology Physician
- Fort Worth, 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
- 4760 Barwick Drive,
Suite C
Fort Worth, TX 76132-1529 - Phone
- (817) 346-9533
- Fax
- (817) 346-9788
- NPI assigned
- Dec 29, 2006
- Last updated
- Sep 30, 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 connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
4760 Barwick Drive,
Suite C
Fort Worth, TX 76132-1529
Mailing address
P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400
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 |
|---|---|---|---|
| 45D0971316 | Texas Health Care, PLLC | Provider-performed microscopy | Nov 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
4760 Barwick Dr
Ste C
Ft Worth, TX 76132
Phone (817) 335-8478
Practitioners & affiliated clinicians
Practitioners 23
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 Medicine Physician
- Fort Worth, TX
- NPI 1912924515
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1952328551
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1003820572
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1194739664
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1962427773
-
- Obstetrics & Gynecology Physician
- Fort Worth, TX
- NPI 1629096128
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1538185483
-
- Nurse Practitioner
- Fort Worth, TX
- NPI 1831237627
-
- Obstetrics & Gynecology Physician
- Fort Worth, TX
- NPI 1811914492
-
- Obstetrics & Gynecology Physician
- Fort Worth, TX
- NPI 1942227533
-
- Obstetrics & Gynecology Physician
- Fort Worth, TX
- NPI 1811914401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317340800000",
"number": "1912063371",
"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": "4760 BARWICK DRIVE,",
"address_2": "SUITE C",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761321529",
"telephone_number": "817-346-9533",
"fax_number": "817-346-9788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS HEALTH CARE, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"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": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Texas Health Care, P.L.L.C.
- Texas Health Care, P.L.L.C.
- Texas Health Care, P.L.L.C.
- Texas Health Care, P.L.L.C.
- Texas Health Care, P.L.L.C.
- Texas Health Care, P.L.L.C.
- Texas Health Care, PLLC (Privia Medical Group North Texas)
- Texas Health Care, PLLC
- Texas Health Care, PLLC
- Texas Health Care, PLLC (Texas healthcare Bone & Joint)
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.
- 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.