Organization
TEXAS HEALTH CARE, P.L.L.C.
Active
Other names
Privia Medical Group North Texas
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
202 SW 25TH AVE STE 500, MINERAL WELLS, TX 76067-8403
(940) 325-3330
(855) 227-6997
Mailing address
P. O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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