Organization
TEXAS HEALTH CARE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LAWLEY (C.E.O.)
(817) 740-8400
Entity
Organization
Contact information
Practice address
134 EL CHICO TRAIL, SUITE 103, WILLOW PARK, TX 76087-8862
(817) 740-8400
(817) 900-6265
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-0205
(817) 740-8400
(817) 900-6265
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154920601
—
TX
05
—
154920602
—
TX
05
—
154920603
—
TX
01
—
45D0900920
CLIA
TX
01
—
CK8411
RAILROAD MEDICARE
—
01
—
CK8412
RAILROAD MEDICARE
—
Enumeration date
12/29/2006
Last updated
12/15/2025
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