Organization
TEXAS HEALTH CARE, PLLC
Active
Other names
Privia Medical Group North Texas
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D TATUM MD (CEO)
(817) 740-8400
Entity
Organization
Contact information
Practice address
6320 SOUTHWEST BLVD STE 200, BENBROOK, TX 76109-6961
(817) 766-5500
(817) 766-5501
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-0205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/18/2022
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