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Organization
TEXAS HEALTH CARE, PLLC
Active
Organization
TEXAS HEALTH CARE, PLLC
Active
Other names
Privia Medical Group North Texas
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D TATUM MD (CEO)
(817) 740-8400
Entity
Organization
Contact information
Practice address
4425 E US HIGHWAY 377 STE 104, GRANBURY, TX 76049-7475
(682) 936-4081
(817) 570-0704
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-0205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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