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
2975 E BROAD ST STE 200, MANSFIELD, TX 76063-9147
(682) 518-8619
(682) 518-8195
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(682) 518-8195
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155109501
—
TX
Enumeration date
11/29/2011
Last updated
11/04/2016
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