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Organization

TEXAS HEALTH CARE, PLLC

Active
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Organization

TEXAS HEALTH CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY D TATUM MD (CEO)
(817) 740-8400
Entity
Organization

Contact information

Practice address
1651 W ROSEDALE ST STE 100, FORT WORTH, TX 76104-7437
(817) 930-2030
(817) 930-2031
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8450

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
155109501
TX
Enumeration date
05/06/2020
Last updated
05/07/2020
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