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
5612 EDWARDS RANCH RD, FORT WORTH, TX 76109-4145
(817) 420-9238
(817) 570-0182
Mailing address
P.O. 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
10/06/2020
Last updated
10/06/2020
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