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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
7201 HAWKINS VIEW DR STE 151, FORT WORTH, TX 76132-3934
(817) 916-0108
(817) 915-0151
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-0205
(817) 740-8400
(817) 378-3699

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
06/06/2022
Last updated
06/06/2022
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