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
- 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D0971316 | Other | TX | CLIA |
| 155109501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
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.
-
- 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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "45D0971316",
"state": "TX"
},
{
"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 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.