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Texas Health Care, P.L.L.C.

Organization Active NPI Internal Medicine Physician · Stephenville, TX

NPI 1982257986 · NPPES record last updated Jul 18, 2019

Key facts

NPI
1982257986
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
TEXAS HEALTH CARE, P.L.L.C.
Practice address
150 River North Boulevard
Stephenville, TX 76401-1860
Phone
(254) 968-6051
Fax
(254) 968-4950
NPI assigned
Jul 18, 2019
Organization subpart
No

Authorized official

Name
Larry D Tatum, M.D.
Title
C.E.O.
Phone
(817) 740-8400

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 363

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 363

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20191014001046 TX DME Supplier - Multi-Specialty - Physician 7214840867 Practice locations: Stephenville, TX

National Provider Directory

Tax ID family
Texas Health Care PLLC (24 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X

Addresses

Primary practice location

150 River North Boulevard
Stephenville, TX 76401-1860

Mailing address

P.O Box 961205
Forth Worth, TX 76161-1205
Phone (817) 740-8400

Other names

  • Prvia Medicial Group North Texas Doing business as

Other providers in Stephenville, TX

All providers in Stephenville, TX · Internal Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.