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
2909 LACKLAND ROAD, FORT WORTH, TX 76116-4119
(817) 740-8400
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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