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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
5801 OAKBEND TRAIL,, SUITE 260, FORT WORTH, TX 76132-3923
(817) 346-6000
(817) 346-6009
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
155109501
TX
Enumeration date
04/07/2011
Last updated
09/30/2011
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