Organization
TEXAS HEALTH CARE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D. TATUM M.D. (C.E.O.)
(817) 740-8400
Entity
Organization
Contact information
Practice address
4950 OVERTON RIDGE BLVD., FORT WORTH, TX 76132-1909
(817) 423-2020
(817) 423-2040
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76116-1205
(817) 740-8400
(817) 423-2040
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155109501
—
TX
Enumeration date
09/17/2010
Last updated
10/05/2010
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